Radiation shield assembly

ABSTRACT

A radiation shield assembly includes a shield configured to block radiation and a rail assembly configured to position the shield in between the radiation table and a radiation source. The shield is movable between a retracted position and an extended position along a length of the rail assembly. In the extended position, the shield extends along a portion of a radiation table and blocks radiation from the radiation source to the portion of the radiation table. In the retracted position, the shield exposes at least some of the portion of the radiation table to the radiation.

CROSS-REFERENCE TO RELATED PATENT APPLICATIONS

This application is a continuation of, and claims priority to co-pendingU.S. patent application Ser. No. 16/788,975 filed Feb. 12, 2020, whichis a continuation of U.S. patent application Ser. No. 16/276,400 filedFeb. 14, 2019 which claims priority to and the benefit of U.S.Provisional Patent Application No. 62/631,089 filed Feb. 15, 2018, andU.S. Provisional Patent Application No. 62/693,140 filed Jul. 2, 2018,the contents of all of which are incorporated herein by reference intheir entireties.

FIELD

This disclosure relates generally to radiation shield assemblies.

BACKGROUND

Radiation exposure is detrimental to human health. For example, acomprehensive review of available biologic and biophysical data supportsa “no-threshold” risk model for radiation exposure since the risk ofcancer may increase linearly at low doses of radiation without athreshold. The dose of radiation has the potential to cause a smallincreased risk of malignancy in humans. (National Research Council.Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VIIPhase 2. Washington, D.C.: National Academies, 2006.)

For example, within the survivors of the Hiroshima and Nagasaki atomicbombings, which represents a large population that includes all ages andboth sexes, more than 60% of exposed survivors received a dose ofradiation of less than 100 mSv (the definition of low dose used by theBEIR VII report) (National Research Council, 2006.) The RadiationEffects Research Foundation (RERF) in Japan has conducted follow-upstudies on these survivors for more than 50 years to evaluate the healtheffects of ionizing radiation. From these studies, it was found that theoccurrence of solid cancers increases in proportion to radiation dose.(Preston D L, Ron E, Tokuoka S, et al. Solid cancer incidence in atomicbomb survivors: 1958-1998. Radiat Res, 2007; 168: 1-64., Cullings H M,Fujita S, Funamoto S, et al. Dose estimation for atomic bomb survivorstudies: Its evolution and present status. Radat Res, 2006; 166:210-54.) See also, Sanchez R., Vano E, Fernandez J M, Gallejo J J. Staffradiation doses at real-time display inside the angiography room.Cardiovasc Intervent Radiol, 2010.

However, many different medical radiologic procedures or examinations,such as electrophysiological procedures, cardiac catheterization,angioplasty, cardiac stenting, cardiac valve procedures, and orthopedicprocedures require the use of radiation. Although many differenttechnologies attempt to avoid or minimize radiation during theseprocedures, there is still a moderate to high x-ray exposure asevidenced by reported fluoroscopy in numerous studies (Cano O, Alonso P,Osca J, et al. Initial experience with a new image integration moduledesigned for reducing radiation exposure during electrophysiologicalablation procedures. J Cardiovasc Electrophysial, 2015; 26: 662-670.,Valderrabano M, Greenberg S, Razavi H, et al. 3D cardiovascularnavigation system: accuracy and reduction in radiation exposure in leftventricular lead implant. J Cardiovasc Electrophysiol, 2014; 25: 87-93.)Implant procedures may incur a higher exposure to the practitioner sincethe x-ray generator may be closer to the practitioner.

Some technology allows real-time assessment of radiation dose exposureat a given location. In radiation protection dosimetry, two types ofdosimeters may be used: passive and active (direct reading). Passivedosimeters, such as film badges, may integrate the radiation dose overthe measurement period. Active electronic dosimeters may combine adetector with the readout to display the radiation dose value (e.g., therate of radiation exposure). (Ankerhold U, Hupe O, Ambrosi P.Deficiencies of active electronic radiation protection dosimeters inpulsed fields. Oxford University Press, 2009; 135: 149-153.) Real-timeradiation dose feedback utilizing dosimeters have been shown to reduceradiation exposure to the practitioners (Racadio J, Nachabe R, CarelsonB, et al. Effect of real-time radiation dose feedback on pediatricinterventional radiology stop radiation exposure. Journal of Vascularand Interventional Radiology, 2013; 25:119-126.)

During a radiologic procedure, a radiation source, such as an x-ray tubebelow the table holding the patient, may emit radiation (e.g., x-rays)as a direct radiation beam toward an area of the patient's body that isintended to be examined. Most of the direct radiation beam enters intothe patient in order to allow the pattern to be examined andsubsequently exits the patient's body. The area of the patient's bodythat is under examination receives some radiation due to the directradiation beam. The entrance radiation dose is the amount of radiationthat enters into the patient and the exit radiation dose is the amountof radiation that exits from the patient.

However, radiation from the direct radiation beam deflects, which causesthe radiation to scatter and forms “scatter radiation.” Scatterradiation refers to any radiation that is outside of the directradiation beam. A portion of the radiation may scatter before and/orafter the radiation enters into and exits from the patient's body. Someof the scatter radiation enters into areas of the patient's body thatare not under examination. Accordingly, these areas of the patient'sbody not under examination also are exposed to and receive radiation dueto the scatter radiation, which needlessly increases the patient'soverall exposure to radiation (i.e., the exit radiation dose) and alsoincreases the amount radiation exiting the patient (i.e., the exitradiation dose), which affects the practitioners.

The practitioners are also exposed to the scatter radiation, both thescatter radiation that has not entered the patient's body and thescatter radiation that has entered and exited the patient's body. Thescatter radiation from areas of the patient's body that are not underexamination, in particular, needlessly increases the amount of radiationthat the practitioners are exposed to.

In order to reduce the amount of radiation that the practitioners areexposed to (specifically due to the radiation exiting the patient), leadskirts that are attached to the side of the x-ray table, mobile seals,suspended plexiglass shields, and sterile pads placed on top of or abovethe patient may be used. Most of these devices are on the top of theexamining table and are only designed to shield the practitioners fromthe radiation exiting the patient. These devices do not protect thepatient from excessive radiation (e.g., scatter radiation) entering intoareas of the patient's body not under examination and instead allow thepatient to be needlessly exposed to the scatter radiation. Furthermore,the shielding above the patient on top of the examining table may lacksymmetry in placement, which may create gaps its protection to thepractitioners. Even further, it may be difficult to move shielding thatis positioned on top of the procedure table in order to visualizedifferent portions of the patient's body.

Therefore, certain procedures, such as cardiac catheterization, exposeareas of the patient's body that do not need to be visualized toradiation, which may needlessly increase both the patient's and thepractitioner's overall radiation exposure.

SUMMARY

Various embodiments provide for a radiation shield assembly thatincludes a shield configured to block radiation and a rail assemblyconfigured to position the shield in between the radiation table and aradiation source. The shield is movable between a retracted position andan extended position along a length of the rail assembly. In theextended position, the shield extends along a portion of a radiationtable and blocks radiation from the radiation source to the portion ofthe radiation table. In the retracted position, the shield exposes atleast some of the portion of the radiation table to the radiation.

These and other features (including, but nor limited to, retainingfeatures and/or viewing features), together with the organization andmanner of operation thereof, will become apparent from the followingdetailed description when taken in conjunction with the accompanyingdrawings, wherein like elements have like numerals throughout theseveral drawings described below.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a schematic, side view of a radiation shield assembly on anexamination table and in a retracted position according to oneembodiment.

FIG. 2 is a schematic, side view of the radiation shield assembly ofFIG. 1 in a partially extended position.

FIG. 3 is a perspective view of a radiation shield assembly attached toa table according to one embodiment.

FIG. 4 is perspective view of a shield (in an extended position) andlocking handles of the radiation shield assembly of FIG. 3 .

FIG. 5A is a top, partially transparent view of a rail assembly of theradiation shield assembly of FIG. 3 .

FIG. 5B is a perspective view of a portion of the rail assembly of FIG.5A.

FIG. 6 is a cross-sectional, partially transparent view through theradiation shield assembly of FIG. 3 .

FIG. 7 is a cross-sectional, partially transparent view of portion ofthe radiation shield assembly of FIG. 3 .

FIG. 8 is a perspective view of a shield adjuster of the radiationshield assembly of FIG. 3 .

FIG. 9 is a side, partially transparent view of the shield adjuster ofFIG. 8 attached to a shield and a rod.

FIG. 10 is a perspective view of a deflector and a portion of the shieldof FIG. 3 .

FIG. 11A is a side, cross-sectional view of a handle of the radiationshield assembly of FIG. 3 in a locked position.

FIG. 11B is a side, cross-sectional view of the handle of tire radiationshield assembly of FIG. 3 in an unlocked position.

FIG. 12 is a side view of a suction mount of a radiation shield assemblyaccording to one embodiment attaching a rail assembly to a table.

FIG. 13A is a perspective, partially transparent view of a radiationshield assembly with clamp mounts and suction mounts attached to a tableaccording to one embodiment.

FIG. 13B is a cross-sectional view of the radiation shield assembly andtable of FIG. 13A.

FIG. 14 is an exploded, perspective view of the clamp mount and railassembly of FIG. 13A.

DETAILED DESCRIPTION

Referring generally to the figures, disclosed herein is a radiationshield assembly, as shown according to exemplary embodiments, that maybe used to protect the patient and the practitioners and reduce theirexposure to ionizing radiation during radiology procedures. Theradiation shield assembly may minimize, reduce, block, or stop portionsof the radiation from entering the patient, which protects both thepatient and the practitioners, minimizes their overall exposure toradiation, and avoids penetration of radiation into the patient's bodyin areas not directly involved in the imaging field and not intended tobe examined. The radiation shield assembly still allows other portionsof the radiation to enter into certain areas of the patient's body toallow these areas to be examined through radiation. Due to the potentialhealth consequences of radiation exposure, it is highly beneficial touse the radiation shield assembly to reduce or block radiation exposureto organic material.

Radiation Shield Assembly

As shown in FIGS. 1-2 , the patient 10 may lay on the procedure,radiology, or examining table 110 during a radiology procedure. Thetable 110 may, for example, have an upper surface formed from clearplexiglass, carbon fiber, or other material that does not materiallyaffect emitted radiation. The radiation source 120 may be positionedunderneath the table 110 and emit radiation 122 (e.g., x-rays) fromunderneath the table 110. Accordingly, the radiation 122 moves throughthe table 110 and toward an examination area 12 of the patient's body.The examination area 12 refers to the area of the patient's body to beexamined and therefore to be exposed to radiation 122. The rest of thepatient's body that is not intended to be examined (and therefore doesnot need to be exposed to radiation) is referred to as thenonexamination area 14 of the patient 10.

The radiation source 120 emits radiation 122 that comprises both adirect radiation beam 121 and the scatter radiation 125. The active ordirect radiation beam 121 refers to radiation that is aimed toward theexamination area 12 of the patient's body. The scatter radiation 123refers to radiation that is deflected off of matter and accordingly isoutside of the direct radiation beam 121 and may enter intononexamination areas 14 of the patient's body without the radiationshield assembly 20, as described further herein. The entrance radiationdose 124 is the amount of radiation 122 that enters into the patient 10,and the exit radiation dose 126 is the amount of radiation 122 thatexits from the patient 10.

In order to expose the examination area 12 of the patient 10 toradiation 122 and thereby allow the examination area 12 to be examined,the radiation source 120 emits radiation 122 as the direct radiationbeam 121 aimed toward the examination area 12 of the patient's body.Some of the radiation 122 successfully exposes the examination area 12to radiation. However, as shown in FIGS. 1-2 , some of the radiation 122is deflected outside of the direct radiation beam 121 and instead isemitted as scatter radiation 123. Without the radiation shield assembly20 (or when the shield 30 of the radiation shield assembly 20 isretracted (i.e., in the retracted position 32), as shown in FIG. 1 ),the scatter radiation 123 may be directed to a variety of differentareas of the patient's body, including the nonexamination area 14 of thepatient 10.

When the shield 30 of the radiation shield assembly 20 is at leastpartially extended (i.e., the partially extended position 34, as shownin FIG. 2 (compared to FIG. 1 ) and as described further herein), theradiation shield assembly 20 protects at least a portion of the patient10 (and the practitioners (e.g., the doctors, physicians, medical staff,and operators) that are nearby the patient 10) from excessive andunnecessary exposure to radiation by selectively blocking or preventingsome of the radiation 122 (in particular, the scatter radiation 123)from unnecessarily entering into certain areas of the patient's body(i.e., into at least a portion of the (or the entire) the nonexaminationarea(s) 14). The radiation shield assembly 20 still, however, allowssome of the radiation 122 (i.e., at least a portion of the directradiation beam 121) to enter into other areas of the patient's body(i.e., into the examination area 12) through areas of the table 110 thatthe shield 30 does not extend along.

Accordingly, the radiation shield assembly 20 significantly reduces theoverall amount of radiation exposure to both the patient 10 and thepractitioners. More specifically, the radiation shield assembly 20reduces the patient's overall amount of radiation exposure by preventingradiation 122 from entering into the nonexamination area 14 of thepatient 10, which reduces the amount of entrance radiation dose 124 tothe patient 10. In turn, by reducing the amount of entrance radiationdose 124 to the patient 10, the amount of exit radiation dose 126 fromthe patient 10 is reduced, which thus reduces the practitioners'exposure to radiation. The radiation shield assembly 20 may reduceradiation exposure by 55-99% in certain locations.

The majority of the radiation shield assembly 20 is positionedunderneath the table 110 (where the patient is positioned on top of thetable 110). Accordingly, the radiation shield assembly 20 may have a lowprofile underneath the table 110 in order to not be obtrusive and tominimize interference with the radiation system in extreme angles.Furthermore, the various components of the radiation shield assembly 20can be sized according to any particular size of the table 110 to beused such that the radiation shield assembly 20 can be used with a widerange of sizes of tables 110. The various components of the radiationshield assembly 20 can also be sized to accommodate specializedequipment, procedures, or needs.

It is understood that the radiation shield assembly 20 may be used witha variety of different types of procedures to visualize hard and/or softtissue, including but not limited to percutaneous radiologic proceduresand with different types of radiation 122, including but not limited tox-rays.

As described further herein, the radiation shield assembly 20 comprisesa shield 30 to block the radiation 122 and to protect the patient 10 andthe practitioner(s) (as shown in FIG. 4 ), a plurality of shieldsupports (i.e., rods 40 and bars 42) to support and fold the shield 30(as shown in FIG. 4 ), and a rail assembly 50 (as shown in FIG. 5A) thatthe shield 30 can be moved along and supported by and that is configuredto position the shield 30 in between the table 110 and the radiationsource 120. As shown in FIG. 3 , the shield 30, the rods 40, the bars42, and the rail assembly 50 are all positioned underneath the table 110(and above the radiation source 120, thereby between the table 110 andthe radiation source 120). Accordingly, the shield 30 is positionedbetween tire rods 40 and bars 42 and the rail assembly 50 (with the rods40 and the bars 42 positioned beneath the shield 30 and the railassembly 50 positioned above the shield 30). The rail assembly 50 ispositioned between the shield 30 and the bottom surface 112 of the table110. The rods 40 and the bars 42 are position between the bottom surfaceof the shield 30 and the radiation source 120. As shown in subsequentfigures and described further herein, the radiation shield assembly 20further comprises a plurality of shield adjusters 70 to move the shield30 along the length of the rail assembly 50, a deflector 80 to positionthe end of the shield 30 further shield the patient 10 and thepractitioners, at least one locking mechanism (i.e. a locking handle140) to control and lock the position of the shield 30 along the lengthof the rail assembly 50, and at least one table mount 157 (i.e., asuction mourn 60 and/or a clamp mount 160) to removably and reattachablyattach the radiation shield assembly 20 (in particular the rail assembly50) to the table 110.

The radiation shield assembly 20 can be easily produced and assembledtogether through several small prefabrication steps attaching, forexample only, the shield 30, the rods 40, the bars 42, and the railassembly 50. Accordingly, the radiation shield assembly 20 does notrequire a large-scale facility or complex machinery for production orassembly. Most of the radiation shield assembly 20 may be independentlymanufactured and later assembled.

The various materials within the radiation shield assembly 20 are usedto minimize the weight of the radiation shield assembly 20 and toprevent corrosion since the radiation shield assembly 20 will be usedaround and with various cleaning detergents and saline solutions.

The Shield

The shield 30 is configured to block radiation 122 (in particular theradiation 122 from the radiation source 120). The shield 30 ispositioned in between the table 110 and the radiation source 120 (inparticular below the table 110 and above the radiation source 120) inorder to prevent radiation 122 from moving through the table 110 andthus into the patient 10 (who is on top of the table 110).

As shown in FIGS. 1-3 , the curtain, shutter, or shield 30 (as shown inFIG. 4 ) may be dynamically and easily moved or adjusted in eitherdirection along at least a portion of the underside of the table 110(i.e., along at least a portion of the length of the rail assembly 50)before and/or during a procedure in order to provide the desired amountand location of shielding from radiation 122 to the patient 10 and toaccommodate different radiation views of the patient 10. Accordingly,the shield 30 protects the areas of the patient's body that are notbeing visualized or examined (i.e., the nonexamination area(s) 14) fromradiation 122 and thereby reduces the overall amount of radiation 122traveling through the patient 10 and to the practitioners.

The practitioner may easily move the shield 30 according to the desiredposition beneath the patient 10 and along the table 110 in order toprovide more or less radiation shielding to the patient 10 and to changewhere the patient 10 is exposed to radiation and where the patient 10 isshielded from radiation. For example, the shield 30 can be expanded,moved, or contracted over a specific surface area between a retractedposition 32 (as shown in FIG. 1 ), a partially extended position 34 (asshown in FIGS. 2-3 ), and an extended position 36 (as shown in FIG. 4 )along a length of the rail assembly 50. In the extended position 36 (aswell as the partially extended position 34), the shield 30 extends alonga portion of the table 110 and thus blocks radiation 122 from theradiation source 120 to that portion of the table 110. Due to thematerial of the shield 30, the shield 30 provides shielding andprotection regardless as to whether the shield 30 is completely folded,partially folded or extended or completely extended. However, by movingthe shield 30 between the positions, the shield 30 can accommodate andprovide protection with a variety of different views and angles ofradiation 122, and the amount and position of shielding is changed.

In the retracted position 32 (as shown in FIG. 1 ), the shield 30 iscompletely folded and out of the way of the path of radiation 122.Accordingly, in the retracted position 32, the shield 30 exposes atleast a portion of the table 110 (and thus the patient 10) to theradiation 122. Depending on the position of the folded shield 30relative to the patient 10, the shield 30 may allow the entire pattern10 (i.e., both the examination area 12 and the nonexamination area 14)(and the majority of the table 110) to be completely exposed to theradiation 122 in the retracted position 32 and does not restrict anyradiation 122 from moving through the table 110 and entering into thepatient 10.

In the partially retracted position or the partially extended position34 (as shown in FIG. 2 ), the shield 30 is both partially retracted andpartially extended, thus only covering and shielding certain areas ofthe patient 10 from radiation 122 for protection and exposing otherareas of the patient 10 to radiation 122 for examination (and thus alsoshielding certain portions of the table 110 to radiation 122 andexposing other areas of the table 110 to radiation 122). The shield 30may still be partially folded since the shield 30 is not completelyextended along the length of the rail assembly 50. In the partiallyextended position 34, both longitudinal edges or ends of the shield 30can be moved to anywhere along the length of the rail assembly 50 (andthus, along at least a portion of the length of the patient 10 and thetable 110) in order to select which areas of the patient 10 (and thetable 110) are shielded from radiation 122. Accordingly, the shield 30can be positioned such that the shield 30 does not interfere with thefield of view of the examination area 12 of the patient 10. Optionally,the end of the shield 30 can be positioned at or extend up to the edgeof the direct radiation beam 121 (as shown in FIG. 2 ), thus protectingthe nonexamination areas 14 of the patient 10 from any scatter radiation123 that is outside of the direct radiation beam 121.

In the extended position 36 (as shown in FIG. 4 ), the shield 30 isfully extended along the rail assembly 50 and a portion of the table 110and is not folded at all and/or is extending along the entire usablelength of the rail assembly 50. The shield 30 blocks radiation 122 fromthe radiation source 120 to this portion of the table 110 (and thus anyportion of the patient 10 extending within this portion of the table110). Depending on the size of the shield 30 and the rail assembly 50and the size and position of the patient 10, the patient's entire bodymay be completely protected from the radiation 122 when the shield 30 isin the extended position 36. In the extended position 36, the shield 30is substantially horizontal.

Since the entire shield 30 is movable along the length of the railassembly 50 and the length of the rail assembly 50 extends along atleast a portion of the table 110, the shield 30 can be moved to shieldany portion of the table 110 (and thus the patient 10) from radiation122 and thus can protect any portion of the patient's body (whileexposing other portions of the patient 10 (and thus the table 110) toradiation 122 for the procedure). For example, the shield 30 may protecteither the upper body or the lower body (and thus allow the other of theupper body or lower body to be exposed to radiation 122 for examination)by extending along the top or bottom of the table 110. As a furtherexample, the shield 30 may be moved to cover the thoracic area of thepatient 10 (while exposing other portions of the patient's body),allowing the practitioner to perform peripheral vascular procedureswithout visual impedance from the shield 30. Alternatively, the shield30 may be moved to cover at least the lower half of the patient 10 (andthus expose the upper half of the patient 10) to allow the practitionerto perform thoracic or cardiac procedures (as shown in FIG. 2 , forexample). If only the heart needs to be visualized, the shield 30 may bepositioned to cover all other areas of the body, such as the rest of thetorso, (while exposing the heart) to minimize the patient's exposure toradiation.

Alternatively or additionally, the shield 30 may be positioned along themiddle of the length of the rail assembly 50 in order only cover amiddle portion of the patient's body (and the table 110). Accordingly,with such an arrangement, an upper portion and a lower portion of thepatient's body (and thus the table 110) may both be exposed to radiation122 for examination purposes while a middle portion of the patient'sbody (and the table 110) is protected from radiation 122.

According to one embodiment, tire radiation shield assembly 20 mayinclude multiple shields 30 along the length of the tail assembly 50.For example, the radiation shield assembly 20 may include two shields30. Accordingly, either or both of the shields 30 can be adjusted toprotect and shield at least a portion of the top and bottom portions ofthe patient's body (and the table 110) from the radiation 122 whileallowing a middle portion of the patient's body (and the table 110) tobe exposed to the radiation 122.

As shown in FIGS. 1-3 , preferably the entire shield 30 (as well as therail assembly 50 and the majority of the rest of the radiation shieldassembly 20) is positioned underneath the table 110 (e.g., along abottom surface 112 of the table 110). The patient 10 may lay on thetopside or top side or surface 114 of the table 110, which is directlyopposite the underside or bottom side or surface 112 of the table 110.By positioning the shield 30 under the table 110 (and under the patient10), the shield 30 protects both the patient 10 and the practitioners bypreventing scatter radiation 123 from entering into the patient 10(comparatively, if the shield were above the table 110 and the patient10, the patient 10 would not be protected from the scatter radiation123). Additionally, since the shield 30 is below the table 110, theshield 30 is more easily adjusted (compared to if the shield 30 wereabove the table 110), even while the patient 10 is on top of or beingheld by the table 110. Therefore, the shield 30 can be moved andadjusted to various positions (i.e., between the retracted position 32and the extended position 36 (and any position therebetween)) while thepatient 10 is laying on the table 110 and during the procedure, withoutmoving or disturbing the patient 10 or compromising sterile areas on thetop surface 114 of the table 110 where the practitioner can access thepatient 10. Furthermore, positioning the shield 30 underneath the table110 and patient 10 allows for more symmetrical shielding (compared to ashield above the patient), which allows the radiation shield assembly 20to block the radiation 122 more predictably.

As shown in FIG. 4 , the shield 30 includes a body 37 and may optionallyfurther include at least one vertical portion or angled end 30. The body37 extends substantially parallel to the table 110 and horizontally whenthe shield 30 is in the extended position 36 (i.e., when the shield 30is completely unfolded). Further, the body 37 is configured to be foldedwhen the shield is in the retracted position 32 or the partiallyextended position 34. The body 37 makes up the majority of the shield 30(compared to the angled end 39).

The angled end 39 is positioned along a longitudinal end of the body 37(optionally the shield 30 may include two angled ends 39 positionedalong opposite longitudinal ends of the body 37). The angled end 39extends substantially perpendicular from the body 37 when the shield 30is in the extended position 36 and to the bottom surface 112 of thetable 110. The angled end 39 may not be, however, folded when the shieldis in the retracted position 32 or the partially extended position 34.As described further herein, the angled end 39 provides additionalshielding and prevents radiation 122 from moving into an area betweenthe top surface of the body 37 of the shield 30 and the bottom surface112 of the table 110. Accordingly, the top of the angled end 39 maydirectly abut the bottom surface 112 of the table 110.

Furthermore, as shown in FIG. 10 and as described further herein, theangled end 39 may include at least one flap 97 along at least one side(in the width direction of the shield 30). The angled end 39 may includetwo flaps 97 on opposite sides of the angled end 39 along the widthdirection of the shield 30. The flap 97 is disconnected (with, forexample, a cut or slit) along a bottom edge of the flap 97 from the restof the angled end 39 or the body 37 such that the flap 97 can moveindependently in the direction of movement of the shield 39 along therail assembly 50 relative to the rest of the angled end 39 and the body37. In other words, the angled end 39 is partially disconnected from thebody 37 along opposite sides along the width of the shield 30. Since theangled end 39 may extend higher than the mount supports 167, the flaps97 allow the angled end 39 to move past any mount supports 167 (in thedirection of movement of the shield 30) that extend inwardly from therails 51 of the rail assembly 50 and are above the body 37 of the shield30 (as well as any table mounts 157) while tire shield 30 moves alongthe length of the rails 51.

The angled end 39 may also include at least one indentation or notch 88(along a lower portion of the angled end 39) that separates the bottomedge of the flaps 97 from the rest of the angled end 39 or the body 37.Accordingly, the notch 88 is positioned between the flap 97 and the body37 of the shield 39. The shield 39 is wider along the flap(s) 97 and thebody 37 of the shield 39 (to maximize how much radiation 122 is blocked)than along the notch(es) 88. Since the notches 88 are less wide than theflaps 97 and the body 37 (and the angled end 39 extends above the body37, toward the rail assembly 50 and the mount supports 167), the notches88 provide clearance to allow the angled end 39 of the shield 30 toeasily move past the mount supports 167 and any table mounts 157 whilethe shield 39 moves along the length of the rails 51.

The shield 30 may be constructed out of a variety of differentradiation-blocking, radiopaque materials that block or attenuateradiation 122, rather than allowing radiation to pass through. Forexample, the shield 30 may be a conventional flexible lead and/oraluminum shield that is radiopaque (and thus blocks or attenuatesradiation 122) and is flexible. The shield 30 may be or may include leadimpregnated polymer and/or polyurethane. As shown in FIG. 10 , theshield 30 may include two layers or plys of lead or aluminum.

Optionally, the shield 30 may include a covering, such as a non-rippednylon covering or a vinyl covering, on one or both sides of theradiation-blocking material of the shield 30. The covering may be in avariety of different colors. The covering may allow the shield 30 to benon-permeable (to blood, for example) and easily cleaned and wiped down(with an anti-microbial cleaning agent, for example).

In order to provide adequate radiation shielding to the patient, theshield 30 may be approximately the same width (or alternatively more orless wide) than the table 110. According to one embodiment as shown inFIG. 4 , the width WS of the shield 30 may be approximately 10-30 inchesand the length LS of the shield 30 may be approximately 20-40 inches.According to another embodiment, the width WS of the shield 30 may beapproximately 15-25 inches and the length LS of the shield 30 may beapproximately 25-35 inches. According to one embodiment, the width WS ofthe shield 30 may be approximately 18 inches and the length LS of theshield 30 may be approximately 28-30 inches. However, it is understoodthat the width WS and/or the length LS of the shield 30 may be larger orsmaller.

The horizontal length LS of the shield 30 may be slightly less than thelength of the rails 51 of the rail assembly 50 (along the direction thatthe shield 30 is movable) in order to allow the shield 30 to becompletely extended into the extended position 36. Accordingly, the endof the shield 30 may be spaced from the end of the rails 51 when theshield 30 is in the extended position 36.

The thickness of the shield 30 may be sufficiently thick to completelyblock radiation 122. According to one embodiment, the shield 30 may beapproximately 0.0001-0.1 inches thick, more preferably 0.001-0.04 inches(0.25-1 mm) thick, or most preferably 0.02 inches (0.5 mm) thick.However, it is understood that a thicker shield 30 may be used tofurther block the radiation 122.

The Rods and the Bars

As shown in FIG. 4 , the plurality of shield supports of the radiationshield assembly 20 provide support and structure for the shield 30, foldthe shield 30 in the partially extended position 34 and the retractedposition 32, and may further block radiation 122 (in addition to theshield 30). The plurality of shield supports comprises at least one rod40 and at least one bar 42. Multiple rods 40 and bars 42 may be attachedto the shield 30 and positioned next to each other along the length ofthe shield 30 (in the direction that the shield 30 is movable betweenthe retracted position 32 and the extended position 36). The rods 40,the bars 42, and the shield 30 move with each other along the length ofthe rail assembly 50 (as the shield 30 is being moved between theretracted position 32 and the extended position 36) to expose certainareas of the patient's body while covering or protecting other areas ofthe patient's body.

As shown in FIG. 4 , the rods 40 and the bars 42 may be partiallyalternately positioned next to each other along the length of the shield30 in order to protect and support the shield 30 (in particular alongits width) and allow the shield 30 to fold or accordion in a particularmanner. For example, each rod 40 (aside from any rod 40 on the end) maybe surrounded on either side by two bars 42. Each bar 42 (aside from anybars 42 on the end) may be surrounded on either side by one other bar 42and one rod 40. The radiation shield assembly 20 may include any numberand arrangement of rods 40 and bars 42. For example, according to oneembodiment as shown in FIG. 4 , the radiation shield assembly 20 mayinclude four rods 40 and eight bars 42. According to another embodiment,the radiation shield assembly 20 may include six rods 40 and ten bars 42and may be positioned such that two bars 42 are positioned between eachof the rods 40 to help properly fold the and support the shield 30.According to another embodiment, the radiation shield assembly mayinclude six rods 40 and nine bars 42. The number of rods 40 and bars 42supporting the shield 30 may depend on the length of the shield 30 andthe desired number and size of folds when the shield 30 is in theretracted position 32 or partially extended position 34.

Furthermore, as shown in FIG. 3 , the rods 40 and the bars 42 areconfigured to cause the shield to fold or accordion together into anaccordion-type fold (when the shield 30 is in the retracted position 32or the partially extended position 34) in order to allow certain areasof the patient's body to be exposed to the radiation 122 whileprotecting other areas of the patient's body from radiation 122. Therods 40 and the bars 42 create natural folds in the shield 30 (withoutsharp edges) to prevent the shield 30 from drooping or ripping and tomaintain the integrity of the shield 30. The accordion fold may alsoallow the shield 30 to be stored or retracted in a compact manner in theretracted position 32 to allow the practitioner to completely view theentire body of the patient 10 if desired.

Substantially round rods 40 may be used in order to allow the shield 30to be folded without any sharp corners (in particular along the topcrease line or fold of the shield 30), which prevents the leadimpregnated polymer of the shield 30 from cracking or being cut by therods 40 (as shown in FIG. 3 ). Otherwise, if the lead impregnatedpolymer of the shield 30 is folded over a sharp corner, the shield 30may develop a linear crack (along the width of the shield 30, forexample), which may fatigue the shield 30 over time and reduce how muchradiation 122 is blocked by the shield 30. As described further herein,the rods 40 attach the shield 30 to the rail assembly 50 (through theshield adjusters 70) and accordingly are located along the top portionor bend of each of the folds. The rods 40 may have a substantiallycircular cross-section or may have rounded corner or edges, depending onthe desired configuration. The rods 40 may optionally be hollow or atleast partially solid along their length. According to one embodiment,there may be no rods (or bats) positioned along the bottom portion orbend of each of the folds, as shown in FIG. 3 , which correspond to anarea that two bars 42 are next to each other along the length of theshield 30 (with no rod 40 in between).

Substantially flat bars 42 may be used in order to support the leadimpregnated polymer of the shield 30 on the non-folding or non-bendingparts or regions of the shield 30. The bars 42 may serve as horizontalspars to support the lead impregnated polymer of the shield 30 and topull the shield 30 downward on opposite sides of a rod 40 in order to befolded in an orderly manner as the shield 30 is extended and retracted(as shown in FIG. 3 ). Furthermore, the flat bars 42 may provideadditional support to the shield 30 and allow the shield 30 to fold morecompactly. The bars 42 are wider and optionally flatter than the rods40.

In order to both provide support to the shield 30 and potentiate theattenuation of the radiation 122, the rods 40 and the bars 42 may bemade out of a suitable radiation-blocking, radiopaque material that alsoprovides sufficient structural support, including but not limited toaluminum. Therefore, the rods 40 and the bars 42 may help the shield 30further block radiation 122.

The rods 40 and the bars 42 may be bonded to the shield 30 in order toprovide proper support and to fold the shield 30 properly. The rods 40and the bars 42 may be bonded to the shield 30 with, for example, aresin, such as an epoxy resin. The epoxy resin may appropriately bondthe aluminum rods 40 and the aluminum bars 42 to the lead impregnatedpolymer or polyurethane of the shield 30.

The rods 40 and the bars 42 may be spaced apart from each other alongthe length of the shield 30 in order to provide sufficient verticalsupport and symmetry in order to properly fold the shield 30 when theshield 30 is in the retracted position 32 or the partially extendedposition 34 and to allow the shield 30 to extend. According to oneembodiment as shown in FIG. 4 , the distance DR between each of the rods40 along the length of the shield 30 (when the shield 30 is in theextended position 36) is approximately 2-10 inches, more preferably 4-8inches, or most preferably 6 inches.

According to one embodiment as shown in FIG. 4 , the distance DB betweeneach of the bars 42 along the length of the shield 30 is approximately0.5-5 inches, more preferably 2-4 inches, or most preferably 3 incheswhen the shield 30 is in the extended position 36. Accordingly, eitherside of the rods 40 may be approximately 1.5 inches from one of the bars42.

The spacing of the rods 40 and the bars 42 relative to and along thelength of the shield 30 may vary according to the desired configurationand amount of support. According to one embodiment as shown in FIG. 4 ,for example only, the distance B1 between the end of the first bar 42and the opposite end of the shield 30 may be approximately 24 inches,the distance B2 between the end of the sixth bar 42 and the end of theshield 30 may be approximately 9 inches, the distance B3 between the endof the seventh bar 42 and the end of the shield 30 may be approximately6 inches, the distance R1 between the last fourth rod 40 and the end ofthe shield 30 may be approximately 5 inches, and the distance B4 betweenthe last eighth bar 42 and the end of the shield 30 may be approximately3 inches.

The rods 40 and bars 42 each extend along the majority (or all of) thewidth of the shield 30. Accordingly, the length of the rods 40 and thebars 42 may be approximately the same as the width WS of the shield 30.According to various embodiments, the length of the rods 40 and the bars42 may be approximately 10 to 30 inches, more preferably 15 to 25inches, or most preferably 18 inches.

According to one embodiment, the rods 40 may have a diameter ofapproximately ⅛ to ¾ inches and a thickness of approximately 1/25 to ⅖inches. More preferably, the rods 40 may have a diameter ofapproximately ¼ to ½ inches and a thickness of approximately 2/25 to6/25 inches. Most preferably, the rods 40 may have a diameter ofapproximately ⅜ inches and a thickness of approximately 4/25 inches(0.16 inches).

According to one embodiment, the bars 42 may have a width ofapproximately 0.25 to 2 inches and a thickness of approximately 1/32 to½ inches. More preferably, the bars 42 may have a width of approximately0.5 to 1.5 inches and a thickness of approximately 1/16 to ¼ inches.Most preferably, the bars 42 may have a width of approximately 1 inchand a thickness of approximately ⅛ inches.

However, it is understood that various dimensions and relative positionsof the rods 40 and/or the bars 42 may be larger or smaller.

The Rail Assembly

The rail frame or assembly 50 (as shown in FIGS. 5A-7 ) may providesupport to the shield 30 and allow the shield 30 to be moved along aportion of the length of the table 110 (e.g., along the length of therail assembly 50) in order to provide more or less shielding to thepatient 10 and to change which areas of the patient's body (and thetable 110) are exposed to radiation 122 for examination and which areasof the patient's body (and the table 110) are protected from radiation122. Furthermore, the rail assembly 50 is configured to position theshield 30 in between the table 110 and the radiation source 120, inparticular such that the shield 30 is positioned below the table 110 andabove the radiation source 120.

The rail assembly 50 comprises at least one rail 51 that the shield 30is movable along between the retracted position 32 and the extendedposition 36. As shown in FIG. 5A, the rail assembly 50 may be a dualrail system. Accordingly, the rail assembly 50 may include (optionallyamong other components, as described further herein) at least tworunners, tracks, or rails 51 that extend along the length of the railassembly 50 and are substantially parallel to each other. The rails 51are positioned on opposite sides of the shield 30 (along the width ofthe shield 30) and support and guide the movement of the shield 30 alongthe table 110. The opposite sides of the shield 30 may optionallypartially or fully overlap with each of the rails 51. Each side of theshield 30 (along the width of the shield 30) may be movably attached toone of two rails 51 (as described further herein) to allow thepractitioner to pull or extend the shield 30 along the length of therails 51.

As shown in FIGS. 6-7 , the rails 51 each include and define a slot 52.A portion of each of the shield adjusters 70 (as described furtherherein) is configured to move within and along the slot 52 as the shield30 is moved. Accordingly, the slot 52 is large enough for a top portionof the shield adjuster 70 (such as the roller structure 73, as describedfurther herein) to move along and within the slot 52 (which allows theshield 30 to be moved between the retracted position 32, the partiallyextended position 34, and the extended position 36).

As shown in FIGS. 6-7 , the rails 51 each also include a top wall 48,two side walls 49, two lips 54, and a longitudinal opening 46, each ofwhich define a portion of the slot 52 and extend along the length of therail 51 (and therefore also along the length of the slot 52). The topwall 48 is substantially opposite the two lips 54 and the longitudinalopening 46 along the height of the rail 51, and the two side walls 49are substantially opposite each other along the width of the rail 51.The longitudinal opening 46 leads into an inner area of the slot 52within the rail 51 along the length of the rail 51 and through at leastone longitudinal end 44 of the rail 51.

As shown in FIGS. 6-7 , the two protruding edges or lips 54 arepositioned on either side of the opening 46 to the slot 52 and ex tendlongitudinally along the length of either side of the longitudinalopening 46 and along the length of the rail 51. The two lips 54 togetheronly extend along a portion of the width of the rail 51 in order todefine the longitudinal opening 46 therebetween. The width of theopening 46 defined by the lips 54 is less than the width of a topportion of the shield adjuster 70 (and more wide than a middle portionof the shield adjuster 70), and the width within the slot 52 is largerthan the width of the top portion of the shield adjuster 70 such thatthe top portion of the shield adjuster 70 is secured within and movablealong the slot relative to the rail 51.

The rail 51 (including the slot 52) extends lengthwise in a longitudinaldirection between two longitudinal ends 44 as shown in FIG. 5A. At leastduring assembly, the rails 51 may be substantially open along one orboth of their longitudinal ends 44 in order to provide an area to insertthe top portion of the shield adjuster 70 into the slot 52 of the rail51 during assembly. Once assembled, in order to prevent the shieldadjuster 70 from falling out of the slot 52 (and thereby detaching theshield 30 from the rail assembly 50), the rail assembly 50 may include alocking pin or stopper 43 and a pair of corresponding holes near one orboth of the longitudinal ends 44. The stopper 43 is longer than thewidth of the rail 51, which prevents the stopper 43 from falling out ofthe pairs of holes. Furthermore, the stopper 43 may include a head and ashaft. The shaft fits within and extends through the pair of holes,while the head (which is larger than the holes) prevents the stopper 43from moving completely through the pair of holes. The holes may extendthrough opposite sides of the rail 52 (such as through each of the sidewalls 49). Accordingly, at each of the longitudinal ends 44, the shaftof the stopper 43 is inserted through the pair of corresponding holes,which prevents any of the shield adjusters 70 from falling out of theslot 52. The stopper 43 may optionally include a spring-activated detentin order to keep the stopper 43 in the holes during use and allow thestopper 43 to be removed by the user when needed (e.g., when the shield30 needs to be removed).

The size of the rails 51 may vary according to the desiredconfiguration. According to one embodiment, the rails 51 may have anouter width (i.e., the distance between the respective opposite outersurfaces of the two side walls 49) of approximately 0.25-1.5 inches anda height (i.e., the distance between the respective opposite outersurfaces of the top wall 48 and the lips 54) of approximately 0.25-1.5inches. More preferably, the rails 51 may have an outer width ofapproximately 0.5-1 inches and a height of approximately 0.5-1 inches.Most preferably, the rails 51 may have an outer width of approximately0.75-0.90 inches and a height of approximately 0.50-0.75 inches.According to one embodiment, the inner width of the slot 52 of the rail51 (i.e., the distance between the respective opposite inner surfaces ofthe side walls 49) may be approximately 0.75 inches and the thickness ofeach of the walls of the tail 51 (in particular the lips 54) may beapproximately 0.085 inches. The total width of one of the lips 54 (i.e.,the distance between the respective opposite outer surfaces of one ofthe side walls 49 and a respective one of the lips 54) may beapproximately 0.33 inches and the distance from an inner surface of aside wall 49 of the rail 51 to the end of the lip 54 may beapproximately 0.245 inches.

As shown in FIGS. 5A-5B and 12-13A, the rail assembly 50 may furtherinclude a variety of other different components, including but notlimited to, at least one cross-beam 56, at least one mount support 167(e.g., one-sided extensions 58 and/or two-sided extensions 168), and/orat least one corner support 59. Accordingly, the rail assembly 50 mayhave a variety of different configurations. For example, the railassembly 50 may only include the rails 51 or may include additionalcomponents. Furthermore, the rail assembly 50 may include or beattachable to a portion of the table mounts 157 (as described furtherherein).

As shown in FIG. 5A, the rail assembly 50 may include at least onerunner, brace, or cross-beam 56 that is substantially perpendicular toand attaches to each of the rails 51. The cross-beam 56 providesadditional support and stability to the rail assembly 50 and maintainsthe relative position of the rails 51 to each other along the width ofthe rail assembly 50. At least one cross-beam 56 may be positioned onone of the ends of each of the rails 51. Alternatively or additionally,another cross-beam 56 may optionally be positioned in a middle portionof the rails 51 along the length of the rail assembly 50. One end of therail assembly 50 may be substantially open (i.e., without a cross-beam56) in order to provide an area to attach the shield 30 to the railassembly 50.

As further shown in FIG. 5A, the rail assembly 50 may include at leastone corner support 59 that is attached to and extends along each of thecross-beam 56 and the rail 51 (at the intersection or joint of thecross-beam 56 and the rail 51) in order to stabilize and increase thestructural integrity of the cross-beam 56 and the rail 51 and to keeptension within the rail assembly 50. The corner support 59 may be, forexample, a flat sheet of support material that is approximatelytriangular. The corner support 59 may extend along a length ofapproximately 4.50 inches of each of the cross-beam 56 and the rail 51.The corner support 59 may optionally be adhered (with, for example,epoxy) to a cross-beam 50 and a rail 51.

Even further, the rail assembly 50 may include at least one bracket ormount support 167 that is positioned along and extends substantiallyperpendicularly from one of the rails 51 or the cross-beams 56. Themount support 167 is configured to support and attach to the tablemounts 157 directly or indirectly (as described further herein) toattach the rad assembly 50 (and the shield 30) to the table 110. Themount support 167 may be a one-sided extension 58 (as shown in FIGS. 12and 13A) or a two-sided extension 168 (as shown in FIG. 5A), asdescribed further herein. The rail assembly 50 may optionally include acombination of different mount supports 167 that are one-sidedextensions 58 and/or two-sided extensions 168 and are positioned alongthe rails 51 and/or the cross-beams 56.

As shown in FIG. 5A, two mount supports 167 are positioned on andstatically attached to each of the mils 51. The mount supports 167 maybe positioned in a variety of different locations along the rails 51.According to one embodiment, a first mount support 167 may be positionedalong the rail 51 at a distance of approximately 4-5 inches from the endof the rail assembly 50 (and the longitudinal end 44 of the rail 51),and a second mount support 167 may be positioned along the rail at adistance of approximately 19.75-21.50 inches from the end of the railassembly 50 (and the longitudinal end 44 of the rail 51).

Additional mount supports 167 may also be positioned in a variety ofdifferent locations along the cross-beams 56. For example, a first mountsupport 167 may be positioned along the cross-beam 56 at a distance ofapproximately 6 inches from a side of the rail assembly 50 and a secondmount support 167 may be positioned along the cross-beam 56 at adistance of approximately 10 inches from the side of the rail assembly50.

The shape of the mount supports 167 may vary according to the desiredconfiguration (and according to whether the mount support 167 is aone-sided extension 58 or a two-sided extension 168, as describedfurther herein). Although the rail 51 is referred to herein, it isunderstood that the mount supports 167 may be attached to thecross-beams 56 in a similar manner. As shown in FIGS. 5B and 7 , themount support 167 includes art overlapping portion 57 and at least onebase 55.

The overlapping region or portion 57 of the mount support 167 extendsbeyond the end of the base 55 and may be an extension of a top wall ofthe base 55. The overlapping portion 57 is configured to extend over andoverlap both the base 55 and the top wall 48 of the rail 51 onceassembled to the rail 51 in other to further secure and attach the mountsupport 167 to the rail 51. Accordingly, the length of the overlappingportion 57 (i.e., the amount that the overlapping portion 57 extendsbeyond the base 55) may be approximately equal to (or less than) thewidth of the rail 51, as shown in FIG. 7 .

The base 55 of the mount support 167 provides an area for the tablemount 157 to attach to the entire mount support 167 (and thus to therail assembly 50). As shown in FIG. 7 , when the mount support 167 isassembled to the rail 51, an end of the base 55 (that which theoverlapping portion 57 extends from) is positioned next to and abuts oneof the side walls 49 of the rail 51 such that the base 55 extends alongthe height of the rail 51.

If the mount support 167 is a one-sided extension 58 (according to oneembodiment as shown in FIG. 12 ), the mount support 167 includes onlyone base 55 that is positioned on one side of the overlapping portion57. The overlapping portion 57 extends beyond the end of the base 55 ofthe one-sided extension 58 as a lip that overlaps the top wall 48 of therail 51. Accordingly, the base 55 (and therefore the one-sided extension58) extends out from and along only one side of the rail 51 (i.e., aninner or outer side wall 49), and the one-sided extension 58 does notstraddle the rail 51. The one base 55 can be positioned on either sideof the rails 51 and thereby can extend inwardly or outwardly from eachof the rails 51 (or the cross-beam 56) depending on the configuration.For example, as shown in FIG. 13A, the bases 55 of some of the one-sidedextensions 58 (i.e., the mount supports 167) extend inwardly from therails 51, while other bases 55 of some of the one-sided extensions 58extend outwardly from the cross-beam 56 at the end of the rails 51. Asdescribed further herein, the one-sided extension 58 is particularlyuseful for attaching the suction mount 60 to the rail assembly 50.

The bases 55 of the mount supports 167 may have a shorter or longerlength, depending on the desired configuration. In particular, thelength of the one-sided extension 58 may depend on the width of thetable 110 that the radiation shield assembly 20 is to be attached to andused with, for example, a one-sided extension 58 with a greater lengthmay accommodate and fit with a larger variety of tables 110 withdifferent widths. According to one embodiment, the length of theone-sided extension 58 (including both the base 55 and the overlappingportion 57) may be approximately 3.0 to 3.65 inches, and the length ofthe base 55 may be approximately 2.0 to 2.75 inches (as shown in FIG. 7). However, the shorter one-sided extension 58 may mount the railassembly 50 to the table 110 more securely. For example, according toanother embodiment, the length of the one-sided extension 58 (includingboth the base 55 and the overlapping portion 57) may be approximately1.60 to 1.625 inches, and the length of the base 55 may be approximately0.750 inches.

If the mount support 167 is a two-sided extension 168 (according toanother embodiment as shown in FIGS. 5A-5B and 7 ), the mount supportincludes two bases 55 that are positioned on opposite sides of theoverlapping portion 57. The overlapping portion 57 extends between endsof the two bases 55 of the two-sided extension 168 as a bridgeconnecting the two bases 55 and overlaps the top wall 48 of the rail 51.The two-sided extension 168 thus straddles the rail 51, which helpsequalize the pull on either side of the rail 51 to prevent torque frombeing applied to the rail 51. Accordingly, two bases 55 (and thereforethe two-sided extension 168) extend from and along opposite sides of therail 51 (i.e., both side walls 49) (with the overlapping portion 57positioned between the bases 55 and on top of the rail 51). Thus, thetwo-sided extension 168 extends both inwardly and outwardly from twoopposite side walls 49 of the rail 51. As described further herein, thetwo-sided extension 168 is particularly useful for attaching the clampmount 160 to the rail assembly 50. As a two-sided extension 168, thelength LL of the mount support 167 (including both of the bases 55 andthe overlapping portion 57) may be approximately 2.30 inches, and thelength LB of one of the bases 55 may be approximately 0.650 inches (asshown in FIG. 5A), according to one embodiment as shown in FIG. 5A.

As shown in FIG. 5B, the base 55 includes an aperture or hole 53 thatextends completely through the base 55 and provides an area for aportion of the table mount 157 to attach to the mount support 167. Inorder to attach the mount support 167 and the table mount 157, afastener (e.g., a screw, pin, or bolt 61) may extend both through thehole 53 of the mount support 167 and through at least one correspondinghole in the table mount 157. If the mount support 167 is the one-sidedextension 58, the table mount 157 attaches just to the one base 55. Ifthe mount support 167 is the two-sided extension 168, the table mount157 attaches to both of the two bases 55.

The hole 53 may be configured in a variety of different manners.According to one embodiment, each of the bases 55 includes two separateapertures that define the hole 53. The two apertures extend completelythrough two opposite walls, are aligned with each other, and aresubstantially the same size such that the bolt 61 can be positionedwithin and extend through both of the apertures.

According to another embodiment, the base 55 may include a tube thatextends within an inner center space or area of the base 55. The tubemay extend between and connect the two apertures in each of the twoopposite walls of the base 55 and extend along the entire length of thehole 53 through an inner center area of the base 55, thereby defining atleast a center portion of the hole 53 along its length. The innerdiameter of the tube (or the hole 53) may be approximately 0.170 to0.175 inches and the outer diameter of the tube may be approximately0.25 inches.

The inner center area of the base 55 may optionally be filled with afilling around the hole 53 (and any tube the hole 53 may include), suchas an adhesive (i.e. as epoxy and resin), for additional strength and tocreate a substantially solid core within the base 55 (aside from thehole 53 and any tube the bole 53 may include). With the inner centerarea of the base 55 filled with the filling, the base 55 may or may notinclude the tube. For example, without the tube, the filling within thebase 55 may define at least a portion of length of the hole 53 withinthe inner center area of the base 55.

In order to attach the mount support 167 to the rail 51, variousportions (such as the underside of the overlapping portion 57 and aninner wall of the base 55) of the mount support 167 may be covered in anadhesive (such as epoxy or resin), and then placed onto (and therebyadhered to) the rail 51. Although the rail 51 is referenced herein, itis understood that the mount supports 167 may be attached to thecross-beam 56 in a similar manner.

The size of the mount support 167 may vary according to the desiredconfiguration. According to various embodiments, the thickness of theoverlapping portion 57 may be approximately 0.150 inches. The width ofthe entire mount support 167 (including both the base 55 and theoverlapping portion 57) may be constant along the length of the mountsupport 167. According to one embodiment, the width of the mount support167 may be approximately 0.90 inches and the height of the mount support167 may be approximately 0.50 inches. The distance between innersurfaces of the sides walls of the mount support 167 (i.e., the width ofthe inner region of the base 55) may be approximately 0.73 inches.

The rail assembly 50 (and various components of the rail assembly 50)may have a variety of different dimensions according to the desiredconfiguration. The length of the rail assembly 50 (and, specifically,the length of the rails 51) may be slightly longer than the length LS(as shown in FIG. 4 ) of the shield 30 in order to allow the shield 30to completely expand into the extended position 36 (if desired by thepractitioner) and to securely support the shield 30. For example, if thelength LS of the shield 30 is approximately 30 inches, the length of therail assembly 50 (including both the length of the rails 51 and thewidth of the cross-beam 56) may be approximately 31-34 inches (i.e., 32inches) and the length of the rails 51 may be approximately 30.10 to 31inches. According to another embodiment, the length of the rail assembly50 is approximately 27 inches, and the length of the rails 51 isapproximately 26.10 inches (and the length LS of the shield 30 may besized accordingly).

The two rails 51 may be spaced apart from each other according to thewidth WS of the shield 30 and the corresponding length of the rods 40and the bars 42. Accordingly, the length of the cross-beam 56 (i.e., thewidth of the entire rail assembly 50), which may determine the distancebetween the two rails 51, may be approximately equal to the width WS ofthe shield 30. For example, if the width WS of the shield 30 isapproximately 16.50 to 18 inches, the rails 51 may be approximately16.50 to 18 inches apart from each other and the length of thecross-beam 56 may be approximately 16.50 to 18 inches long.Alternatively, the shield 30 may optionally be wider than the distancebetween the rails 51 and the length of the cross-beam 56. For example,as shown in FIG. 6 , the shield 30 may extend a distance D3 beyond theouter edges of each of the rails 51. The distance D3 may beapproximately 0.750 inches.

The distance between an inner edge of one rail 51 to an outer edge ofthe other rail 51 may be approximately 15.60 inches. As shown in FIG. 6, the distance D2 between the inner edges of the two rails 51 may beapproximately 15 inches. The distance between the rails 51 and thelength of the cross-beam 56 may also depend on the size (e.g., thewidth) of the table 110.

In order to prevent any interference of the rail assembly 50 with theradiation 122 that is intended to enter the patient 10 for examinationpurposes and to prevent any interference that may affect the imaging ofthe patient's body, the rail assembly 50 may be constructed out of amaterial (or materials) that does not block or otherwise materiallyaffect radiation 122 and is radiotranslucent (such that x-rays passthrough the rail assembly 50), radiotransparent, or radiolucent.Radiotranslucent, radiotransparent, and radiolucent materials are eachpermeable to radiation and do not block radiation. Instead,radiotranslucent materials allow radiation to pass through the materialand therefore do not affect the imaged area of the patient's body, evenif it is in the field of view. For example, the rail assembly 50 may beconstructed out of carbon fiber, which is radiotranslucent. Differenttypes, thicknesses, and weaves of carbon fiber may be used depending onthe desired configuration in order to increase the strength of the railassembly 50 and prevent the rail assembly 50 from ripping or breaking.For example, various portions of the rail assembly 50 may include, forexample, several plys of unidirectional carbon fiber with a two ply orlayer exterior or may have a 3k plain weave along the long axis. Thevarious layers of carbon fiber may have offset patterns to increase thestrength of the rail assembly 50. The top, sides, and bottom of the railassembly 50 may have the same or different thicknesses or number oflayers of carbon fiber. Furthermore, portions of the rail assembly 50may optionally be infused with resin. Accordingly, the rail assembly 50will not obstruct the practitioner's field of view while the radiationshield assembly 20 in place and will allow the practitioner to stillcompletely visualize the patient without the rail assembly 50 blockingor impeding any of the view (in particular while the shield 30 is in theretracted position 32 or the partially extended position 34), even if aportion of the rail assembly 50 is within the field of view and thedirect radiation beam 121 of the radiation 122.

Additionally, the rails 51 may optionally be tested for binding byidentifying and removing any obstructions, burrs, or narrowing along theinside or interior of the rail 51 (i.e., within the slot 52) that mayprevent or impede the movement of the roller structure 73 and/or thehandle 140 along the rail 51.

Shield Adjuster

As shown in FIGS. 6-7 , the shield 30 may be movably or slidably mountedand attached to each of the two rails 51 through a plurality of shieldadjusters 70. The shield adjusters 70 are attached to the shield 30 andconfigured to allow the shield 30 to move (e.g., roll) along the lengthof the rail assembly 50. As shown in FIG. 6 , two shield adjusters 70(corresponding to the two rails 51) may be positioned on and attached toopposite sides of the shield 30 (along the width of the shield 30). Inparticular, the shield adjusters 70 are attached to each rod 40 andmovably attached to respective rails 51 such that movement of the shield30 causes the shield adjusters 70 to move along the rails 51. Inparticular, a top portion (i.e., the roller structure 73 and a topportion of the bolt 72) of each of the shield adjusters 70 is configuredto move within and along the slot 52 of the rail 51. As shown in FIGS.3-4 , multiple shield adjusters 70 may be attached to the shield 30along the length of the shield 30 in order to support the shield 30along the length of the shield 30.

As shown in FIGS. 8-9 , the shield adjuster 70 includes a fastener(e.g., a screw, pin, or bolt 72) and a roller structure 73. The bolt 72attaches to and extends upward from the rod 40 and the shield 30 (asshown in FIGS. 6-7 and 9 (as well as FIG. 4 )). The bolt 72 attaches aportion of the shield 30, the rod 40, and a roller structure 73 togethersuch that movement of one of the shield 30 (and the rod 40) or theroller structure 73 causes the other of the shield 30 (and the rod 40)and the roller structure 73 to move relative to the rail 51. The rollerstructure 73 movably attaches to one of the rails 51 such that theshield 30 can be moved along the length of the mils 51. The bolt 72 andthe roller structure 73 are attachable to each other such that the bolt72 (and thus the shield 30 and the rod 40) moves congruently with theroller structure 73 as the roller structure 73 moves or rolls along therail 51.

As shown in FIGS. 6-7 and 9 , the bolt 72 of the shield adjuster 70extends substantially perpendicularly through both the shield 30 and oneof the rods 40. The bolt 72 may extend through the rod 40 (in additionto the shield 30) in order to more fully support the shield 30 andsecurely attach the shield 30 to the rails 51 (in particular since, forexample, the shield 30 may be flexible and the rod 40 may be morerigid). The bolt 12 of the shield adjuster 70 may be, for example only,a 10-24×1¼ inch pan Phillips machine screw or an 8 millimeter bolt. Thebolt 72 may be smooth and/or threaded along its length.

Accordingly, each rod 40 may include a hole 41 (as shown in FIG. 7 ) oneither end that the bolt 72 may extend through. The bolt 72 may furtherextend through a corresponding hole in the shield 30 (that aligns withthe hole 41 of the rod 40), through the longitudinal opening 46 of therail 51, into the slot 52 of the rail 51, and through a center hole 174in the roller structure 73 (as shown in FIG. 9 ) in order to movablyattach the rod 40 and the shield 30 to the rail 51. According to oneembodiment, the hole 41 in the rod 40 may be a drilled hole, and thediameter of the hole 41 may be approximately 3/16 inches. Each of theholes 41 may be positioned approximately 2 inches from each end of therod 40 and the bolt 72 may extend through the hole 41 in the rod 40 (andmay optionally further be adhered (with, for example, epoxy) to the rod40 for additional structure and strength).

As shown in FIGS. 7 and 9 , various mounting hardware, such as bushingsor nuts 76, may be positioned along the length of the bolt 72 on eitherside of the rod 40 and the shield 30 to secure the rod 40 and the shield30 along the length of the boil 72. The nuts 76 may be, for exampleonly, a 10-24 hex nuts. The nuts 76 may each be the same type of nut ordifferent types of nuts, depending on the desired configuration.

In order to protect and buffer the rod 40 and the shield 30 from thenuts 76, a protective washer 78 may be positioned between each of thenuts 76 and the rod 40 and the shield 30. The protective washers 78 maybe, for example only, a ½× 1/16 inch rubber washers.

The roller structure 73 of the shield adjuster 70 allows the shieldadjuster 70 to movably attach to the rail 51 and is configured to movealong or roll within the slot 52 of the rail 51. As shown in FIGS. 6-7and 9 , the roller structure 73 is positioned along the top portion ofthe shield adjuster 70 such that at least the majority of the bolt 72(in particular the bottom portion of the bolt 72 that attaches to theshield 30 and the rod 40) is below the roller structure 73, and thus theshield 30 and the rod 40 hang below the roller structure 73 (and therail 51) when the shield adjuster 70 is attached to the rail assembly50. Accordingly, at least the majority of the roller structure 73 (e.g.,the base 170, the axles 77, and/or the wheels 79) may be positionedwithin the slot 52 when assembled to the rail assembly 50.

As shown in FIGS. 7-9 , the roller structure 73 includes a base 170, atleast one horizontal axle 77, and at least two wheels 79 (i.e., at leastone pair of wheels 79). According to one embodiment the roller structure73 includes two horizontal axles 77 and four wheels 79 (i.e., two pairsof the wheels 79 that are each positioned along a respective horizontalaxle 77, as described further herein). This configuration of the rollerstructure 73 (i.e., having two horizontal axles 77 and four wheels 79)increases the stability of the roller structure 73 and allows the rollerstructure 73 (and therefore the shield 30) to easily move along thelength of the rail 51 (within the slot 52) without binding, even if theuser exerts force onto portions of the radiation shield assembly 20 indirections that do not extend along the direction of the length of therail 51 along which the shield 30 is configured to move (i.e., forces inthe vertical direction and/or in the width direction of the rail 51).

The body, carriage, or base 170 is attached to and positioned along atop portion of the bolt 72 (that is within the slot 52 when assembled)and attaches the wheels 79 to the bolt 72 (via the horizontal axles 77).Accordingly, as shown in FIGS. 8-9 , the base 170 includes a centerportion 172 with a center hole 174 that is surrounded on opposite ends(along the lengthwise direction of the base 170, which corresponds tothe lengthwise direction of the rail 51 when assembled and the directionof movement of the shield 30) by two end portions 176, each of which endportions 176 include an end hole 178. The center portion 172 (and itscorresponding center hole 174) and the end portions 176 (and theircorresponding the end holes 178) are all sufficiently spaced apart fromeach other along the lengthwise direction of the base 170 such that,when assembled, the outer edges of the center portion 172 do notinterfere with or hit either of the wheels 79 that are positioned alongthe end portions 176. According to one embodiment, the total length ofthe base 170 is approximately 1 inch, and the distance between thecenters of each of the end holes 178 is approximately 0.645 inches. Eachof the center hole 174 and the end holes 178 extend completely throughthe base 170.

As shown in FIGS. 8-9 , the center hole 174 of the center portion 172provides an area to receive and secure a top portion of the bolt 72within the base 170, and the end holes 178 of the end portions 176 eachprovide an area to receive and secure a portion (e.g., a middle portion)of each of the horizontal axles 77. The longitudinal axis of the centerhole 174 extends in a substantially perpendicular direction to therespective longitudinal axes of the end holes 178. Accordingly, whenassembled, the horizontal axles 77 (that are within the end holes 178)are substantially perpendicular to the bolt 72 (that is within thecenter hole 174) due to the differences in orientations of each of thecenter hole 174 and the end holes 178.

As shown in FIGS. 8-9 , the upper portion of the bolt 72 extendscompletely through the base 170 (through the center hole 174) such thatthe bolt 72 extends at least partially beyond both the top and bottom ofthe base 170. In order to prevent any binding while the radiation shieldassembly 20 is being used, the center hole 174 of the base 170 does nothave any internal threads and the inner diameter of the center hole 174is slightly larger than the outer diameter of the bolt 72, whichprovides free play for the bolt 72 within the center hole 174 onceassembled. Accordingly, the bolt 72 can free float, wiggle, swivel,and/or rotate within the center hole 174 once assembled and as needed,which prevents any torque from being applied to the roller structure 73,in particular if the user does not adjust the shield 30 in exactly thehorizontal direction (i.e., along the length of the rails 51). Accordingto one embodiment, the inner diameter of the center hole 174 may besufficiently larger than the outer diameter of the bolt 72 such that thebolt 72 is given ±15° of movement (i.e., a 30° arc) before applyingtorque to the base 170 (and therefore the roller structure 73).

As shown in FIGS. 8-9 , the lengthwise direction of the base 170 (whichcorresponds to the length of the rail 51) extends in a substantiallyperpendicular manner to the bolt 72 (and substantially perpendicular tothe horizontal axles 77). In order to secure the bolt 72 and the base170 together, additional various mounting hardware, such as bushings ornuts 76, may be positioned along the length of the bolt 72 (i.e., aboveand below the base 170 along the length of the bolt 72), thussandwiching and securing a portion of the base 170 between the nuts 76.The nuts 76 may be, for example only, threaded bushings.

According to one embodiment, the outer diameter DN of the uppermost nut76 (i.e., the nut 76 above the base 170, as shown in FIG. 9 ) may beapproximately 0.200 to 0.260 inches, which is larger than the innerdiameter of the center hole 174 such that the top of the bolt 72 cannotmove through the center hole 174 with the top nut 76 attached.Additionally, the outer diameter of the bolt 72 may be approximately0.115 inches (where the respective inner diameters of the center hole174 and the top nut 76 are slightly larger than outer diameter of thebolt 72 such that the bolt 72 fits within the center hole 174 and thetop nut 76).

In order to allow sufficient room to secure a nut 76 along the topportion of the bolt 72 (above the base 170) while still providing enoughclearance within the slot 52 (specifically along the height of the slot52), the center portion 172 of the base 170 (that the bolt 72 extendsthrough) has a smaller height than the end portions 176 of the base 170(as shown in FIG. 9 ). This configuration provides additional room abovethe base 170 for both the top portion of the bolt 72 and the top nut 76to fit within the height of the slot 52 above the base 170 (i.e.,between the top of the base 170 and the bottom surface of the top wall48 of the slot 52, as shown in FIG. 7 ). The end portions 176 of thebase 170 have a greater height than the center portion 172 in order toallow the end holes 178 to be sufficiently large to receive therespective axle 77. For example, the height EH of the end portions 176(and thus the maximum height of the base 170) may be approximately 0.240inches (as shown in FIG. 9 ). However, the height of the end portions176 of the base 170 are also smaller than the diameter of the wheels 79in order to prevent any drag within the slot 52.

Each of the axles 77 extends completely through the base 170 (through arespective of one of the end holes 178) such that each of the axles 77extends at least partially beyond both sides of the base 170.Accordingly, the wheels 79 may be attached to opposite ends of each ofthe axles 77 such that two wheels 79 are positioned along opposite sidesof the base 170 along each axle 77 (as well as along both ends of thebase 170 on opposite sides of the center hole 174). As shown in FIG. 8 ,the axles 77, the base 170, and the bolt 72 each extend, along theirrespective lengths, substantially perpendicularly to each other.

As shown in FIGS. 7-8 , the rollers, ball bearings, or wheels 79 areeach positioned toward an end of each of the axles 77 on opposite sidesof the base 170 and allow the shield adjuster 70 to move freely alongthe length of the rail 51. Each of the wheels 79 is configured to rollalong each of the top surfaces of the lips 54 within the slot 52 (asshown in FIG. 7 ) in order to move the shield adjuster 70 (andtherefore, also the rod 40 and the shield 30) along the rail 51.

In order to allow sufficient room to position wheels 79 on oppositesides of the end portions 176 of the base 170 while still providingenough clearance within the slot 52 (specifically along the width of theslot 52), the end portions 176 of the base 170 (that the axles 77 forthe wheels 79 extend through) have a smaller width than the centerportion 172 of the base 170 (as shown in FIG. 8 ). This configurationprovides additional room (e.g., “wheel wells”) on both sides of the base170 for both of the wheels 79 (as well as one of the end portions 176)to fit within the width of the slot 52 (i.e., between the inner surfacesof the two side walls 49 of the slot 52, as shown in FIG. 7 ). Thecenter portion 172 of the base 170 has a greater width than the endportions 176 in order to allow the center hole 174 to be sufficientlylarge to receive the bolt 72. However, the center portion 172 of thebase 170 is not too wide so as to avoid any interference with the inneredges of the wheels 79 once assembled.

The outer diameter OB of the wheels 79 may be less than the inner heightof the slot 52 (as shown in FIG. 7 ) in order to provide sufficient roomwithin the slot 52 for the roller structure 73 to move along the lengthof the rail 51. According to one embodiment as shown in FIG. 9 , theouter diameter OB of the wheels 79 may be approximately 0.315 inches.The width of the wheels 79 may be approximately 0.156 inches. The wheels79 may be constructed out of a variety of different materials, includingbut not limited to stainless steel or ceramic.

As shown in FIG. 9 , the outer diameter DA of the axles 77 may beapproximately 0.115 to 0.125 inches, where the respective innerdiameters of the end holes 178 and the wheels 79 are slightly largerthan the outer diameter DA of the axles 77 such that the axle 77 fitswithin the end holes 178 and the wheels 79.

The distance between the outer side edges of the wheels 79 along oneaxle 77 is larger than the width of the longitudinal opening 46 of therail 51 in order to retain the roller structure 73 within the slot 52(as shown in FIG. 7 ). According to one embodiment, the distance betweenthe outer side edges of the wheels 79 along one axle 77 is approximately0.560 inches, and the distance between the inner side edges of thewheels 79 along one axle 77 is approximately 0.250 inches.

Deflector

As shown in FIGS. 4 and 10 , the radiation shield assembly 20 mayinclude an angled support element or deflector 80 positioned on at leastone longitudinal end of the shield 30. The deflector 80 is configured toboth angle and support the angled end 39 of the shield 30 relative tothe body 37 of the shield 30. The deflector and the angled end 39 of theshield 30 together further shield the patient 10 and the practitionersin a substantially vertical manner from radiation 122 (where themajority of the shield 30 (i.e., the body 37) shields in a substantiallyhorizontal manner when unfolded in the extended position 36). Inparticular, the deflector 80 and the angled end 39 together help protectthe patient 10 from scatter radiation 123 that may otherwise enter intothe patient 10 through a vertical gap between the top surface of thebody 37 of the shield 30 and the bottom surface 112 of the table 110.

The deflector 80 includes at least one support element. For example, asshown in FIG. 10 , the deflector 80 includes two support elements (i.e.,an upper brace or support element 82 and a lower brace or supportelement 86) that are positioned on opposite sides of and sandwich both aportion of the body 37 and a portion of the angled end 39 of the shield30. The upper support element 82 may be positioned on the top of theshield 30 (i.e., between the shield 30 and the table 110), and the lowersupport element 86 may be positioned directly beneath the upper supportelement 82 on the bottom of the shield 30 (i.e., the other side of theshield 30).

The upper support element 82 and the lower support element 86 eachinclude a horizontal portion 94 and a vertical portion 92 that aresubstantially perpendicular to each other such that the upper supportelement 82 and the lower support element 86 are each shaped in an “L.”The horizontal portion 94 and a vertical portion 92 are angled atapproximately 90° relative to each other in order to bend the body 37and the angled end 39 of the shield 30 at approximately 90° relative toeach other. Accordingly, the horizontal portion 94 extends along andparallel to the body 37 of the shield 30 (when the shield 30 is in theextended position 36), and the vertical portion 92 extends along andparallel to the angled end 39 of the shield 30.

Each of the upper support element 82 and the lower support element 86may be continuous pieces of material. Since the shield 30 is sandwichedbetween and supported by the upper support element 82 and the lowersupport element 86, the upper support element 82 and the lower supportelement 86 bend the body 37 and the angled end 39 of the shield 30relative to each other. The deflector 80 maintains the relative positionof the body 37 and the angled end 39, regardless of the position andamount of folding of the shield 30. The upper support element 82, theshield 30, and the lower support element 86 may be attached togetherwith bolts, in particular along the vertical portion 92 of the deflector80 and the angled end 39 of the shield 30.

The upper portion of the angled end 39 of the shield 30 may optionallyextend vertically above the vertical portion 92 of the deflector 80 inorder to allow the upper portion of the angled end 39 of the shield 30(which is relatively flexible compared to the deflector 80) to reach anddirectly abut the bottom surface 112 of the table 110 and thus to act asa “sweeper” along the bottom surface 112 of the table 110. Inparticular, this upper portion of the angled end 39 of the shield 30 maybend above the vertical portion 92 of the deflector 80 and along wherethe shield 30 contacts the bottom surface 112 of the table 110, therebysealing to the bottom surface 112 of the table 110 and ensuring bettershielding. Accordingly, as shown in FIG. 10 , the height SH of thevertical portion 92 of the deflector 80 is less than the height of theangled end 39 of the shield 30 (above the body 37 of the shield 30).According to one embodiment, the height of the angled end 39 of theshield 30 may be approximately 2.5 to 3 inches, and the height SH of thevertical portion 92 of the deflector 80 may be approximately 1.0 to 1.5inches.

In order to provide adequate support to the end portion of the shield 30and to the vertical shield 84, the deflector 80 is relatively more stiffthan the shield 30 (which may be flexible enough to easily bend). Forexample, the upper support element 82 and the lower support element 86may be constructed out of a variety of different materials, includingbut not limited to carbon fiber.

In order to provide additional vertical shielding and to attenuate thescatter radiation 123, the deflector 80 may include a vertical shield 84(as shown in FIG. 10 ) that is positioned between the respectivevertical portions 92 of the upper support element 82 and the lowersupport element 86 of the deflector 80. The vertical shield 84 mayoptionally be positioned between layers of at least a portion of theangled end 39 of the shield 30. The vertical shield 84 may beconstructed out of a variety of different rigid radiation-shieldingmaterials that are radiopaque, such as copper, and both support theshield 30 and further attenuate x-rays. The vertical shield 84 mayinclude multiple layers for additional support and shielding. Accordingto one embodiment, the vertical shield 84 may only extend within thevertical portion 92 of the deflector 80 (and not the horizontal portion94 of the deflector 80). According to another embodiment, the verticalshield 84 may optionally also extend at least partially along thehorizontal portion 94 of the deflector 80.

According to one embodiment, the vertical shield 84 may extendvertically above the respective vertical portions 92 of the uppersupport element 82 and the lower support element 86. Accordingly, theheight HS of the vertical shield 84 may be greater than the height SH ofthe respective vertical portions 92 of the upper support element 82 andthe lower support element 86 (as shown in FIG. 10 ). Alternatively, theheights HS and SH may be approximately the same, depending on thedesired configuration. For example, the height HS of the vertical shield84 may be approximately 1.0 to 1.5 inches, and the height SH may beapproximately 1.0 to 1.5 inches. However, the vertical shield 84 may beshorter than and may not extend along the entire height of the angledend 39 of the shield 30 (in particular the upper portion of the angledend 39) in order to allow the upper portion of the angled end 39 of theshield 30 to be flexible and bend along the bottom surface 112 of thetable 110. Furthermore, the vertical shield 84 may be more narrow thanthe angled end 39 of the shield 30 (in particular above the notches 88)and may not extend along the flap 97 of the shield 30. Additionally,according to one embodiment, the vertical shield 84 may optionally beapproximately 0.10 inches thick.

According to one embodiment as shown in FIG. 10 and as described furtherherein, a lower portion of the angled end 39 of the shield 30 may havean indentation or notch 88 in order to prevent the lower portion of theangled end 39 of the shield 30 from hitting the table mounts 157 (i.e.,a suction mount 60 and/or a clamp mount 160), the mount supports 167, orthe mount bracket 62 as the shield 30 is moved along the length of therail assembly 50. The top portion of the angled end 39 of the shield 30(which is above the notch 88) may be sufficiently high to verticallyclear the mount supports 167 and therefore may not need a reduced length(unlike the bottom portion of the angled end 39 of the shield 30).Accordingly, the length of the top portion of the angled end 39 of theshield 30 (and the width WS of the horizontal portion of the shield 30,as shown in FIG. 4 ) is greater than the length of the bottom portion ofthe angled end 39 of the shield 30 (where the bottom portion of thevertical portion of the shield 30 directly connects to the body 37 ofthe shield 30), which creates the notch 88. Accordingly, with thereduced lower width along the lower portion of the angled end 39 of theshield 30 (i.e., at the notch 88), the shield 30 can clear and move pastthe table mounts 157 without any interference.

Since the upper portion of the angled end 39 of the shield 30 has agreater width than the lower portion of the angled end 39 of the shield30 to form the notch 88, flaps 97 of the shield 30 are formed above thenotch 88, which maximizes the amount of shielding. The flaps 97 extendhorizontally beyond the length of the vertical portion 92 of thedeflector 80 (including any vertical shield 84 and along both ends ofthe vertical portion 92 in the direction of the width of the shield 30)and vertically above the height of the notch 88 and the height HS of thevertical portion 92 of the deflector 80 (including any vertical shield84). According to another embodiment, the shield 30 may not include thenotch 88, and the flaps 97 may be defined by a horizontal slit in theangled end 39 of the shield 30. Accordingly, the flaps 97 may moveindependently in the direction of movement of the shield 30 along therail assembly 50 relative to the rest of the shield 30 (i.e., the body37 and the rest of the angled end 39) and the deflector 80.

Alternatively or additionally, as shown in FIG. 10 , the verticalportion 92 of the deflector 80 may have a reduced lower width (relativeto the horizontal portion 94 of the deflector 80) such that thedeflector 80 does not hit the table mounts 157 or the mount supports167. For example, the length of the vertical portion 92 of the deflector80 (which may be approximately equal to or less than the length of thebottom portion of the angled end 39 of the shield 30 along the notch 88)may be less titan the length of the top portion of the angled end 39 ofthe shield 30 along the flaps 97 and less than the length of thehorizontal portion 94 of the deflector 80. Accordingly, the deflector 80can clear and move past the table mounts 157 and the mount supports 167without any interference. The horizontal distance between the end of theone of the flaps 97 and the nearest end of the horizontal portion 94 ofthe deflector 80 may be approximately 2.0 inches.

According to one embodiment, the angled end 39 of the shield 30 may notinclude the notch 88 and may extend horizontally beyond the ends of thevertical portion 92 of the deflector 80. Accordingly, the angled end 39of the shield 30 may have a substantially constant length along theheight of the angled end 39. In this embodiment, the bottom portion ofthe angled end 39 extends horizontally beyond the ends of the verticalportion 92 of the deflector 80 (along the length).

The various portions of the deflector 80 may have a variety of differentdimensions according to the desired configuration. According to oneembodiment, the width SW of the horizontal portion 94 of one of theupper support element 82 or the lower support element 86 of thedeflector 80 (as shown in FIG. 10 ) may be approximately 1.0 inches.According to one embodiment, the length of the horizontal portion 94 ofthe deflector 80 (which may correspond to the width WS of the shield 30)may be approximately 18 inches, the length of the vertical portion 92 ofthe deflector 80 may be approximately 14 inches (or alternativelyapproximately 13 inches), and therefore, the horizontal portion 94extends approximately 2 inches (or alternatively approximately 2.5inches) horizontally beyond the vertical portion 92 on each side of thedeflector 80.

The length of the angled end 39 of the shield 30 above the end of thevertical portion 92 of the deflector 80 (i.e., along the flaps 97) maybe shorter than the length of the horizontal portion 94 of the deflector80 in order to horizontally clear the rails 51. For example, the lengthof the shield 30 along the flaps 97 may be approximately 14-16 inches.

Alternatively or additionally, the radiation shield assembly 20 mayinclude a flat support element 98 positioned along the body 37 of theshield 30 at the end of the shield 30 (along the length of the shield30), as shown in FIG. 4 . The support element 98 further supports theshield 30 and may be positioned along an opposite end of the shield 30as the deflector 80. The shield 30 may or may not include an angled end39 along the end of the shield 30 that includes the flat support element98 (rather than the deflector 80). The support element 98 may beconstructed out of a variety of different materials, including but notlimited to carbon fiber. According to one embodiment, the flat supportelement 98 may have a width of approximately 1 inch and a thickness ofapproximately ⅛ inch. The length of the support element 98 maycorrespond to the width WS of the shield 30. Accordingly, the length ofthe support element 98 may be approximately 10-30 inches, morepreferably 15-25 inches, or most preferably 18 inches.

Locking Handle

As shown in FIGS. 4 and 11A-11B, the radiation shield assembly 20 mayinclude a locking mechanism (which may be and is referred to herein as alocking handle 140) that is configured to lock the shield 30 in anyposition (i.e., in the retracted position 32, in the extended position36, or in a position between the retracted position 32 and the extendedposition 36 (i.e., the partially extended position 34)). Furthermore,the handle 140 is configured to move (e.g., push or pull) the shield 30along the length of the rails 51 such that the shield 30 covers orexposes certain areas or to adjust the field of view at any time.

The handle 140 includes a locking, stopping, or braking system,mechanism, or assembly in order to lock the shield 30 in a particularposition along the length of the rails 51. Accordingly, the handle 140is movable between a braked or locked position 148 (as shown in FIG.11A) in which the handle 140 is locked and the shield 30 is not movablealong the length of the rail 51 and a movable, released, or unlockedposition 149 (as shown in FIG. 11B) in which the handle 140 is unlockedand the shield 30 is movable along the length of the rail 51.

As shown in FIG. 11A, the handle 140 includes a base 142, a lever 144,and a hinge 146. The hinge 146 movably or pivotably attaches the backend of the lever 144 to the base 142 such that the front end of thelever 144 can pivot relative to the base 142. By moving the lever 144 upand down relative to the base 142, the user may move the handle 140between the locked position 148 and the unlocked position 149. Morespecifically, by moving the lever 144 toward the base 142, the handle140 is moved into the unlocked position 149. When the user releases thelever 144, the handle 140 automatically moves away from the base 142,thereby moving back into the locked position 148.

As further shown in FIG. 11A, the handle 140 further includes a fastener(e.g., a screw, pin, or bolt 152), a spring 154, a lower brace (referredto herein as a lower washer 156), and an upper brace (referred to hereinas an upper washer 158) in order to automatically move the handle 140from the unlocked position 149 toward the locked position 148. The bolt152 extends substantially vertically through holes in both the base 142and the lever 144 in a middle portion along the lengths of the base 142and the lever 144. The bolt 152 may further extend through the shield 30and optionally a rod 40, the horizontal portion 94 of the deflector 80,or the flat support element 98 (all of which would be positioned beneaththe base 142, on the opposite side as the lever 144) in order to attachthe handle 140 to the shield 30 and to allow the handle 140 to controlthe position of the shield 30. The base 142 is statically attached tothe lower portion of the bolt 152, and the lever 144 is movably attachedto a middle portion of the bolt 152 (and is movable along the length ofthe bolt 152).

The spring 154 is positioned around the bolt 152 and between the lowersurface of the lever 144 and the upper surface of the base 142 andprovides resistance against moving the lever 144 away from the rail 51,which biases the handle 140 toward the rail 51 and toward the lockedposition 148 and automatically locks the handle 140 in position to therail 51 (when the user releases the handle 140). The spring 154 pushesthe lever 144 away from the base 142 and toward the locked position 148.Accordingly, the handle 140 is biased toward the locked position 148.

The lower washer 156 and the upper washer 158 are each positioned aroundthe bolt 152 and above the upper surface of the lever 144 (along thelength of the bolt 152). The lower washer 156 is positioned next to theupper surface of the lever 144, and the upper washer 158 is positionedabove and spaced apart from the lower washer 156 along the length of thebolt 152 (e.g., toward the top of the bolt 152). As shown in FIGS.11A-11B, the upper washer 158 is positioned within the slot 52 of therail 51 (movable and securable along the upper surface of the lips 54 ofthe rail 51) and holds or secures the lop or end of the bolt 152 withinthe slot 52 (and the lips 54 retain the upper washer 158 within the slot52). The lower washer 156 is positioned outside of and below the slot 52of the rail 51 (movable and securable along the lower surface of thelips 54 of the rail 51). Accordingly, the lips 54 of the rail 51 aresandwiched between the upper washer 158 and the lower washer 156 (andthus the lever 144) for a secure attachment. The upper washer 158 slideswithin and along the length of the slot 52 (which allows the rest of thehandle 140 to move with the upper washer 158 along the rail 51) when thehandle 140 is in the unlocked position 149 and being moved. According toanother embodiment, the handle 140 may not include the lower washer 156,and instead the lever 144 may be the lower brace.

In order to lock the handle 140 to the rail 51, the lower washer 156 andthe lever 144 are movable along the length of the bolt 152. The upperwasher 158 and the base 142, however, are statically attached toopposite ends of the bolt 152. Accordingly, in the locked position 148(as shown in FIG. 11A), the spring 154 is presses the lever 144 and thelower washer 156 away from the base 142 and toward the bottom surface ofthe lips 54 of the rail 51 and the upper washer 158. Accordingly, thespring 154 compresses or pinches the lips 54 of the rail 51 between theupper washer 158 and the lower washer 156 (and the lever 144) when thehandle 140 is released by the user (or when the user is not compressingthe handle 140), which prevents the upper washer 158 from moving alongthe length of the rail 51 and brakes and locks the handle 140 (and theshield 30).

In order to unlock the handle 140, the user may press the lever 144toward the base 142 until the handle 140 is moved into the unlockedposition 149, thereby releasing the grip on the lips 54 of the rail 51,as shown in FIG. 11B. In the unlocked position 149, the user overcomesthe force of the spring 154 and thereby moves the lever 144 relativelyclose to the base 142, away from the rail 51. This action compresses thespring 154 between the lever 144 and the base 142 and allows the lowerwasher 156 to move away and separate from the lips 54 of the rail 51 andthe upper washer 158 along the bolt 152, which releases the lips 54 ofthe rail 51 and allows the lower washer 156 and the upper washer 158(and thus the entire handle 140) to move relative to the lips 54 of therail 51. Accordingly, in the unlocked position 149, there is a largergap between the upper washer 158 and the lower washer 156 along thelength of the bolt 152, which allows the upper washer 158 to move andslide freely within the slot 52 of the rail 51 and along the length ofthe top surface of the lips 54 of the rail 51. The rest of the handle140 moves with the upper washer 158 along the rail 51 in the unlockedposition 149. Accordingly, in order to move the shield 30 back and forthalong the length of the rail assembly 50, the user may grasp the handle140, push the lever 144 toward the base 142 (which moves the handle 140into the unlocked position 149), and, while the lever 144 is stillpushed toward the base 142, move the handle 140 along the rail assembly50.

According to one embodiment, the upper washer 158 may be in contact withthe rail 51 in both the locked position 148 and the unlocked position149, while the lower washer 156 may only be in contact with the rail 51in the locked position 148.

The handle 140 may be positioned in a variety of different places alongthe length of the shield 30. As shown in FIGS. 1-4 , the handle 140 maybe positioned toward or at an end of the shield 30 (along the length ofthe shield 30) (on, for example, the horizontal portion 94 of thedeflector 80, as shown in FIG. 11A). The front ends of the base 142 andthe lever 144 may extend out beyond the shield 30 (along the width ofthe shield 30) to allow the user to easily access and use the handle 140(where the base 142 and the lever 144 are movably attached to each otherthrough their respective back ends). Optionally, multiple handles 140may be attached to the shield 30 (such as at opposite ends of the shield30) in order to control and secure the position of both ends of theshield 30.

The various components of the handle 140 may be constructed out of avariety of materials. For example, according to one embodiment, the base142 and the lever 144 may each be constructed out of carbon fiber. Thelower washer 156 may be constructed out of rubber (in order to, forexample, firmly grip the bottom surface of the lips 54 of the rail 51and prevent the handle 140 from sliding in the locked position 148). Theupper washer 158 may be constructed out of nylon or Teflon (in order to,for example, easily slide along the top surface of the lips 54 of theslot 52 in the unlocked position 149). Since nylon has a relatively lowfriction with carbon fiber, the nylon upper washers 158 may sliderelatively easily along the rail 51. Furthermore, since nylon has arelatively low coefficient of friction, the nylon upper washers 158 aremore resistant to wear.

The hinge 146 may be constructed out of a variety of different materialsin order to movably attach the base 142 and the lever 144. For example,the hinge 146 may include two support portion 145 and a flexible portion147 (where the support portions 145 are positioned on opposite sides ofthe flexible portion 147). The support portion 145 is relatively stiffand securely attaches to the base 142 or the lever 144 (with, forexample, an adhesive). The flexible portion 147 is relatively flexibleand bendable and is positioned in between the two support portions 145.The flexible portion 147 flexes and bends as the two support portions145 are moved relative to each other (and thus as the lever 144 movesrelative to the base 142).

According to one embodiment, the support portions 145 are constructedout of carbon fiber, and the flexible portion 147 is constructed out ofballistic Kevlar, which allows the hinge 146 to be ultralight and lowprofile. Furthermore, the hinge 146 does not have to include anyfasteners (such as bolts) to attach to the base 142 or the lever 144 andmay only use, for example, an adhesive to attach to the base 142 and thelever 144. The material of the flexible portion 147 may optionallyextend into either or both of the support portions 145 (and thus besandwiched between layers of carbon fiber in each of the supportportions 145) in order to increase the strength of the hinge 146.According to another embodiment, however, the hinge 146 may beconstructed out of metal.

The handle 140 may have a variety of different dimensions according tothe desired configuration. For example, the diameter of the upper washer158 may be larger than the width of the longitudinal opening 46 into theslot 52 between the lips 54 to prevent the upper washer 158 from fallingout of the slot 52 and may also be smaller than the width of the slot 52to allow the upper washer 158 to move along the slot 52. According toone embodiment, the upper washer 158 may be an approximately ½ by ⅛ inchwasher. The lower washer 156 may be an approximately ½ by 1/16 inchwasher (which may be larger than the width of the longitudinal opening46 to the slot 52 to prevent the lower washer 156 from moving into theslot 52).

As shown in FIG. 11A, the length BD of the base 142 may be approximately8.5 inches and the longitudinal distance LD between the ends of thelever 144 when the lever 144 is angled relative to the base 142 (e.g.,toward or in the locked position 148) may be approximately 6.0 inches.The distance BB between the bolt 72 and the front end of the base 142may be approximately 5.2 inches. The width LW of the front end of thelever 144 may be approximately 0.90 inches, and the width BW of thefront end of the base 142 may be approximately 1.8 inches. The height HBof the bolt 152 may be approximately 1.25 inches.

According to one embodiment, the roller structure 73 (as shown anddescribed further herein) may be integrated into the handle 140 alongthe length of the bolt 152 (above the lower washer 156), therebyfunctioning as the upper brace and replacing the upper washer 158. Thehandle 140 may otherwise move and be operated in a similar manner withthe roller structure 73.

Alternatively or additionally, as shown in FIG. 4 , the radiation shieldassembly 20 may include a non-locking handle 138 on either end (or bothends) of the shield 30 to allow the practitioner to grasp and easilymove or slide the shield 30 along the length of the rails 51 to cover orexpose certain areas or adjust the field of view at any time. The handle138 may be constructed out of a variety of different materials,including but not limited to carbon fiber and may also beradiotranslucent.

Table Mounts

In order to attach the radiation shield assembly 20 to the table 110,the radiation shield assembly 20 may include table mounts 157 that areconfigured to removably and reattachably attach or mount the railassembly 50 to the table 110 and hold the rest of the radiation shieldassembly 20 in place relative to the table 110, as shown in FIGS. 12-14. As described further herein, the table mounts 157 allow the rest ofthe radiation shield assembly 20 to be attached to the table 110 withoutany modifications to the table 110 and without requiring the table 110to be modified in any way. The table mounts 157 allow the radiationshield assembly 20 to be temporarily attached to, removed from, andreattached to various different tables 110 (which may have differentsizes and/or shapes).

The table mounts 157 allow the radiation shield assembly 20 touniversally and stably attach or mount to numerous different types,shapes, sizes, and configurations of tables 110. The table mounts 157may allow the radiation shield assembly 20 to be easily retro-fitted toan existing table 110.

The table mounts 157 may allow the radiation shield assembly 20 (inparticular the rail assembly 50) to be quickly and easily attached orsecured to and released or removed from the table 110 with minimaleffort and little training of the practitioner. Furthermore, the tablemounts 157 do not require any modifications (e.g., hardwaremodifications or mechanism modifications), alterations, or mechanicalfastening (e.g., bolting or screwing) to the radiation system or table110 in order to attach the radiation shield assembly 20 (in particularthe rail assembly 50) to the table 110. It may be necessary tocompletely remove the radiation shield assembly 20 in order to calibratethe radiation source 120. Therefore, it is highly beneficial that thetable mounts 157 allow the radiation shield assembly 20 to be easilyattached to, removed from, and reattached to the table 110.Additionally, the table mounts 157 can be attached to tables 110 with avariety of different widths and with or without tapers (particularlyalong the bottom surface 112 of the table 110, as shown, for example, inFIG. 13B and described further herein). Accordingly, the table mounts157 can be attached to tables from a variety of different brands.

Different types of table mounts 157 may be used, depending on thedesired configuration and the desired mounting configuration. Forexample, the table mount 157 may be a suction table mount structure(referred to herein as a suction mount 60 and as shown in FIGS. 12-13A)or a clamping table mount structure (referred to herein as a clamp mount160 and as shown in FIGS. 13A-14 ), as described further herein.

The radiation shield assembly 20 may include any number of table mounts157 according to various embodiments, such as four to six table mounts157. Optionally, the radiation shield assembly 20 may utilize the sametype or multiple different types of table mounts 157 (i.e., the clampmounts 160 and/or the suction mounts 60) at the same time in order toattach to the table 110 in different manners, depending on the desiredconfiguration. For example, according to one embodiment, the radiationshield assembly 20 may include and use only clamp mounts 100 (inparticular four clamp mounts 160) in order to attach to the table 110.According to another embodiment as shown in FIG. 13A, the radiationshield assembly 20 includes and uses both clamp mounts 160 and suctionmounts 60 (in particular two clamp mounts 160 at one end of the railassembly 50 and two suction mounts 60 at the other end of the railassembly 50) in order to attach to the table 110.

As shown in FIGS. 12-13A, the table mounts 157 may be attached tovarious portions of the rail assembly 50. The positioning of the tablemounts 157 along the rail assembly 50 can be varied in order to maximizethe stability of the radiation shield assembly 20 under a wide range ofdifferently sized tables 110. For example, the table mounts 157 may bepositioned at different points along the length of the rail assembly 50(optionally toward the center along the length of the rail assembly 50),extending out from (substantially perpendicularly both above and alongthe width of) the rails 51. Alternatively or additionally, the tablemounts 157 may be positioned at the ends of the rail assembly 50 (e.g.,beneath the patient's head or feet and toward the center along the widthof the rail assembly 50), extending from and attached to mount supports167 positioned along a cross-beam 56 at the end of the rail assembly 50,as shown in FIG. 13A.

The table mount 157 may be configured to attach to the mount support 167of the rail assembly 50. If the table mount 157 is attached to a mountsupport 167 of the rail assembly 50 (or to a mount bracket 62, which isattached to a mount support 167), the positioning of the table mount 157depends on the positioning of the mount supports 167. Alternatively, thetable mount 157 may be attached directed to the rail 51 or thecross-beam 56 of the rail assembly 50. For example, the table mount 157may be positioned toward and attached to (and extend from) the edges oreach end of the rail assembly 50 (in addition to or alternative to tablemounts 157 that are attached to the mount supports 167).

Similar to the rail assembly 50, the table mounts 157 may also beconstructed out of a material (or materials) that does not block orotherwise materially affect radiation 122 and is radiotranslucent (suchthat x-rays pass through the rail assembly 50), radiotransparent, orradiolucent in order to prevent any interference of the table mounts 157with the radiation 122 that is intended to enter the patient 10 forexamination purposes and to prevent any interference that may affect theimaging of the patient's body. For example, the table mounts 157 may beconstructed out of carbon fiber, which is radiotranslucent. Accordingly,the table mounts 157 will not obstruct the practitioner's field of viewwhile the radiation shield assembly 20 in place and will allow thepractitioner to still completely visualize the patient without the tablemounts 157 blocking or impeding any of the view (in particular while theshield 30 is in the retracted position 32 or the partially extendedposition 34), even if a portion of the table mounts 157 is within thefield of view and the direct radiation beam 121 of the radiation 122.

Suction Mount

The suction mounts 60 (one type of the table mounts 157, as shown inFIGS. 12-13A) are configured to removably attach, suction, or mountunderneath the table 110 (i.e., to the bottom surface 112 of the table110, as shown in FIG. 12 ) with suction in order to attach the rest ofthe radiation shield assembly 20 (in particular the rail assembly 50) tothe table 110. By mounting the radiation shield assembly 20 to thebottom surface 112 of the table 110, the radiation shield assembly 20can be easily and quickly set up and mounted to the table 110. When thesuction mount 60 is suctioned to the bottom surface 112 of the table 110(and the radiation shield assembly 20 is assembled), the shield 30 andthe rail assembly 50 are positioned along and below the bottom surface112 of the table 110.

As shown in FIG. 12 , the suction mounts 60 each comprise a suction cup67 that suctions to the bottom surface 112 of the table 110 (or anyother type of smooth surface). The suction cups 67 may be, for exampleonly, 3.25 inch suction cups. The suction cups 67 may be, for exampleonly, mechanical suction cups with rotating mounts.

In order to ensure that the suction cups 67 securely attach to thebottom surface 112 of the table 110, the radiation shield assembly 20(in particular the suction mounts 60) may include stickers that areconfigured to adhere to the bottom surface 112 of the table 110. Thestickers provide a smooth surface or area for the suction cups 67 tosecurely suction to and to create an airtight seal with. The stickersmay be particularly beneficial if the table 110 is carbon fiber (andtherefore porous and/or including microridges), which may otherwiseprevent the suction cups 67 from creating a complete suction and thusprevent the suction cups from securely attaching to the table 110. Thestickers may be, for example, polypropylene, polyvinyl, or PVC plasticwith an adhesive backing and may be approximately 6 inches in diameter.The size and shape of the stickers may correspond to the size and shapeof the suction cups 67 such that the stickers are approximately the samesize or greater in size than the suction cups 67. According to oneembodiment, the stickers are each approximately a 4 by 4 inch or 4 by 6inch rectangle.

The suction mounts 60 each also comprise a suction cup holder 68 thatsecures to the suction cup 67 and attaches the suction cup 67 to therail assembly 50 (through the mount support 167 and optionally the mountbracket 62). Accordingly, the suction cup holder 68 may be directly andpivotably attached to the rail assembly 50, to one of the mount supports167, or to a mount bracket 62 (as described further herein) (as shown inFIG. 12 ). In order to attach to each of these components, the suctioncup holder 68 includes at least one protrusion or extension 69 and ahole extending through the extension 69. For example, the suction cupholder may include two substantially parallel extensions 69, each ofwhich include and define a hole extending completely through theextensions 69. According to one embodiment, the extensions 69 may extendalong opposite sides of the mount bracket 62 (or, alternatively, alongopposite sides of a portion of a rail 51, a cross-beam 56, or the mountsupport 167). However, according to another embodiment, the extension(s)69 may extend into a portion of the mount bracket 62, the rail 51, thecross-beam 56, or the mount support 167.

The extensions 69 (in particular their respective holes) are alignedwith each other and are configured to receive a fastener (e.g., a pin orbolt 61). The bolt 61 extends through the hole(s) in the extensions 69of the suction cup holder 68 and through corresponding holes in the rail51 (or in the cross-beam 56), in the mount support 167, or in the mountbracket 62 (depending on the desired configuration) in order to movablyor rotatably attach the suction cup holder 68 (with the suction cup 67)to the rail 51 (or the cross-beam 56), the mount support 167 (as shownin FIG. 13A), or the mount bracket 62 (as shown in FIG. 12 ). A pivotaxis may be formed through the centers of the holes in the extensions 69of the suction cup holder 68 and the respective hole(s) in the rail 51(or the cross-beam 56), the mount support 167 or the mount bracket 62,which allows the angle of the suction cup holder 68 (and thus thesuction cup 67) to be changed relative to the rail 51 (or the cross-beam56), the mount support 167, or the mount bracket 62.

According to one embodiment, the suction cup holder 68 is movably orrotatably attached directly to the rail 51. Accordingly, the rails 51may each have a hole through which the suction cup holder 68 is directlyattached to the rail 51. According to one embodiment, the hole in therail 51 may be approximately 0.5 inches from each longitudinal end ofeach rail 51 and a ⅛ inch drilled hole. The suction cup holder 68 may beattached to the cross-beam 56 in a similar manner (and the cross-beam 56may include similar hole(s)).

According to one embodiment as shown in FIG. 13A, the suction cupholders 68 may be movably or rotatably attached directly to the mountsupports 167 (in particular the one-sided extension 58). As describedfurther herein, the mount supports 167 are statically attached toanother portion of the rail assembly 50, such as a rail 51 or across-beam 56, and include hole(s) 53. Accordingly, the bolt 61 mayextend through the hole(s) in the suction cup holder 68 and the hole(s)53 in the mount support 167 in order to directly attach the suction cupholder 68 to the mount support 167.

According to another embodiment as shown in FIG. 12 , the suction cupholders 68 may be movably or rotatably attached directly to the mountbrackets 62 (as described further herein), which are movably orrotatably attached directly to the mount support 167 (as shown in FIG.12 ). Accordingly, the mount support 167 indirectly supports the suctioncup holder 68 through the mount brackets 62. In order to movably orrotatably attach directly the suction cup holders 68 to the mountbrackets 62, the bolt 61 may extend through the hole(s) in the suctioncup holder 68 and corresponding second set of hole(s) 64 in the mountbracket 62.

Although the mount bracket 62 is shown to be attached with the one-sidedextension 58 in FIG. 12 , the suction mount 60 (as well as the mountbracket 62) may be used with and attached to a variety of differenttypes of mount supports 167, including the two-sided extension 168,depending on the desired configuration.

The radiation shield assembly 20 may include multiple suction cupholders 68 that are attached to the rail assembly 50 in differentmanners (i.e., directly to the rail 51 (or the cross-beam 56), directlyto the mount support 167, and/or directly to the mount bracket 62)according to the desired configuration.

Mount Bracket for the Suction Mount

According to one embodiment as shown in FIG. 12 , the radiation shieldassembly 20 may further comprise at least one arm, extension, or mountbracket 62 that is configured to attach the suction mount 60 to the railassembly 50. Accordingly, the mount bracket 62 is positioned between andmovably or rotatably attached to both the mount support 167 and thesuction mount 60 (in particular to the suction cup holder 68. The mountbracket 62 may optionally be a part of the rail assembly 50 or the mountsupport 167 and/or constructed in a similar manner and with similarmaterials as the rail assembly 50. The mount bracket 62 is particularlyuseful along the portion of the rail assembly 50 that corresponds to thehead of the table 110.

The mount bracket 62 allows the suction mount 60 to be offset verticallyand/or horizontally by greater distance from the mount support 167, andthus also from the rail 51 or the cross-beam 56 of the rail assembly 50(compared to if the suction mount 60 were directly attached to the mountsupport 167, the rail 51, or the cross-beam 56). Furthermore, the mountbracket 62 allows the position of the suction mount 60 to be adjusted toa greater degree according to the user's needs and the dimensions orconfiguration of the particular table 110 that the radiation shieldassembly 20 is being used with. Accordingly, the mount bracket 62 allowsthe radiation shield assembly 20 fit with a wider variety of differentsized and shaped tables 110.

Since the mount bracket 62 can be angled away from the mount support167, the suction mount 60 can be positioned at a different height thanthe mount support 167, the rail 51, and the cross-beam 56. Accordingly,the mount bracket 62 spaces the rail assembly 50 vertically away fromthe bottom surface 112 of the table 110.

Since the height of each of the suction mounts 60 can be individuallyadjusted via the mount brackets 62, the radiation shield assembly 20 mayaccommodate and adapt to various curvatures along the bottom surface 112of the table 110. For example, the bottom surface 112 of the table 110may not necessarily be flat. Instead, the bottom surface 112 of thetable 110 may be curved, tapered, or angled upward at approximately 15°along the area underneath the head and/or shoulders of the patient 10.By adjusting the angle of each of the mount brackets 62 (and thereforeheight of the suction mounts 60) relative to the mount support 167 (andthus relative to the rails 51 and the cross-beam 56), the rail assembly50 can be tailored to the specific configuration of the table 110 andtherefore can be attached to a variety of different configurations oftables 110. According to one embodiment, the mount bracket 62 may raisethe suction mount 60 up to approximately 2 inches above the rail 51 orthe cross-beam 56.

In order to movably or rotatably attach to both the mount support 167and the suction mount 60, the mount bracket 62 includes a first set ofholes 63 and a second set of holes 64. The first set of holes 63 and thesecond set of holes 64 are positioned along opposite ends of the mountbracket 62. Accordingly, the mount bracket 62 provides doublearticulation with two pivot axes, wherein one pivot axis extends throughthe first set of holes 63 and the other pivot axis extends through thesecond set of holes 64. This configuration allows the vertical position(i.e., the height) and the horizontal position of the suction mount 60to be adjusted relative to the rest of the rail assembly 50, and theangle of the suction cup 67 can be adjusted according to the desiredangle (i.e., depending on the relative angle of the bottom surface 112of the table 110).

The first set of holes 63 is configured to align with the holes 53 inthe mount support 167, and a fastener (e.g., a pin or bolt 61) extendsthrough the first set of holes 63 and the holes 53 in order to attachthe mount support 167 and the mount bracket 62 together. The second setof holes 64 is configured to align with the holes in the suction mount60 (in particular the suction cup holder 68), and another bolt 61extends through the second set of holes 64 and the holes in the suctionmount 60 in order to attach the suction mount 60 and the mount bracket62 together.

As shown in FIG. 12 , the mount bracket 62 comprises a body 66 and atleast one extension or protrusion 65 (for example two parallelprotrusions 65 extending from one end of the body 66). The body 66 maycomprise a top wall, a bottom wall, and two side walls. The protrusions65 extend from two opposite walls along a first end of the body 66 anddefine the first set of holes 63. The second end of the body 66 definesthe second set of holes 64 (where the first end of the body 66 isopposite to the second end of the body 66 along the length of the mountbracket 62).

In order to attach the mount bracket 62 to the mount support 167, thefirst set of holes 63 in the mount bracket 62 are aligned with the holes53 in the mount support 167 by, for example, positioning the protrusions65 of the mount bracket 62 around opposite sides of the base 55 of themount support 167 such that the protrusions 65 at least partiallyoverlap the base 55 of the mount support 167 to align the holes. A bolt61 is then moved into or through each of the respective holes in themount bracket 62 and in the mount support 167. Since the protrusions 65of the mount bracket 62 do not have top or bottom walls therebetween,the mount bracket 62 can move or pivot relative to the mount support 167about a first pivot axis while the bolt 61 is positioned within thefirst set of holes 63 of the mount bracket 62 and the holes 53 in themount support 167 in order to change the height and horizontal positionof the suction mount 60 relative to the mount support 167 (and the rail51 or the cross-beam 56).

In order to attach the mount bracket 62 to the suction mount 60, theholes in the extensions 69 of the suction cup holder 68 of the suctionmount 60 may be aligned with the second set of holes 64 in the mountbracket 62 by, for example, positioning the extensions 69 of the suctioncup holder 68 extends into the body 66 of the mount bracket 62 (or,alternatively, positioning the extensions 60 of the suction cup holder68 around opposite sides of the body 66 of the mount bracket 62 suchthat the extensions 60 at least partially overlap the second end of thebody 66 of the mount bracket 62) to align the holes. Another bolt 61 isthen moved into or through each of the respective holes in the mountbracket 62 and the suction mount 60. Since the extension 69 of thesuction mount 60 do not have top or bottom walls therebetween, thesuction mount 60 can move or pivot relative to the mount bracket 62about a second pivot axis while the bolt 61 is positioned within theholes in the suction mount 60 and the second set of holes 64 of themount bracket 62 in order to change the angle of the suction mount 60.

The mount bracket 62 may have a variety of different dimensionsaccording to the desired configuration. According to one embodiment, theprotrusions 65 may extend directly from side walls of the mount bracket62. According to another embodiment, the protrusions 65 may each be asheet of material that at least partially overlaps the body 66 of themount bracket 62. For example, according to one embodiment, the totallength of the protrusions 65 (including the portion overlapping the body66) may be approximately 2.60 inches, the length of the body 66 may beapproximately 2.60 inches, and the protrusions 65 may each overlap aside of the body 66 by a length of approximately 1.75 inches. The totallength of the mount bracket 62 may be approximately 3.4 inches.

The width of the mount bracket 62 may be approximately 1.05 inches andthe distance between the inner sides of the protrusions 65 may beapproximately 0.90 inches, which may be greater than the width of themount support 167 such that the mount support 167 fits between the twoprotrusions 65. The width of a portion of the mount bracket 62 (of thebottom wall) may be approximately 0.73 inches. The height of the mountbracket 62 may be approximately 0.50 inches.

A tube or tubing may optionally extend through each of the first set ofholes 63 and the second set of holes 64 of the mount bracket 62,connecting the two holes in each of the sets of holes 63, 64. Accordingto one embodiment, the first set of holes 63 and the second set of holes64 may be approximately the same size. For example, the inner diameterof the first and second sets of holes 63, 64 (or tubing) may beapproximately 0.170 inches and the outer diameter of the tubing may beapproximately 0.25 inches. The size of the first and second sets ofholes 63, 64 may be correlated to the size of the holes 53 in the mountsupport 167 and the holes in the table mounts 157.

Clamp Mount

The clamp mounts 160 (another type of the table mounts 157, as shown inFIGS. 13A-14 ) are configured to removably attach, mount, or clamp tothe table 110 (as shown in FIGS. 13A-13B) with a clamping force in orderto attach the rest of the radiation shield assembly 20 to the table 110.In particular, the clamp mounts 160 are configured to clamp the topsurface 114 and the bottom surface 112 of the table 110. Due to theconfiguration of the clamp mounts 160, as well as the two-sidedextension 168, the weight of the radiation shield assembly 20 (inparticular the shield 30, which may be constructed out of led) is fullysupported, and the force of the weight is applied in the verticaldirection, rather than a horizontal direction, which prevents torquefrom being exerted onto the rail assembly 50. Such torque on the railassembly 50 may otherwise pull the rail assembly 50 at least partiallyout of shape or dimension, which may cause the shield adjuster 70 tobind within the rail 51, which would prevent the shield adjuster 70(along with the shield 30) from being easily movable (or movable at all)along the length of the rail assembly 50.

As shown in FIGS. 13A-14 , the clamp mounts 160 each comprise an upperclamp 162 and a lower clamp 182 (as described further herein) in orderto clamp to and along both the top surface 114 and the bottom surface112 of the table 110, thereby sandwiching and securing the table 110between at least a portion of the upper clamp 162 and at least a portionof the lower clamp 182. Accordingly, as shown in FIGS. 3 and 13A-13B,the clamp mount 160 extends along both the top surface 114 and thebottom surface 112 of the table 110, as well as any side surface of thetable 110 extending between the top surface 114 and the bottom surface112. As described further herein, the clamp mounts 160 are each attachedand rigidly secured (via the lower clamp 182) to the rail assembly 50 inorder to secure the rest of the radiation shield assembly 20 to thetable 110.

As shown in FIGS. 13A-13B, the clamp mount 160 (in particular the upperpaddle 164 and the lower paddle 184, as described further herein) ispositioned along the top of the rail assembly 50 (e.g., along and abovethe top wall 48 of the rail 51 that is opposite the longitudinal opening46 leading to the slot 52 within the rail 51) such that the clamp mount160 and the shield 30 are on opposite sides of the rail 51. With thisarrangement, the clamp mount 160 does not interfere with movement of theshield 30 along the rail assembly 50. Accordingly, at least the lowerpaddle 184 of the clamp mount 160 is positioned between the railassembly 50 and the table 110 (while at least a portion of the upperpaddle 164 is positioned above the table 110).

As shown in FIGS. 13A-13B, at least a portion of the top or upperbracket or clamp 162 is configured to extend substantially along andsecure the top surface 114 of the table 110. Accordingly, as shown inFIGS. 13A-14 , the upper clamp 162 includes an upper paddle 164 and anupper base 166. The upper extension, plate, or paddle 164 is configuredto extend horizontally beyond the upper base 166 and along (and parallelto) the top surface 114 of the table 110 toward a center portion of thetable 110 (along the width or length of the table 110) and is on anopposite side of the table 110 as the lower paddle 184 of the lowerclamp 182 (as described further herein). Accordingly, as shown in FIG.13B, the upper paddle 164 is substantially flat along its length andwidth (i.e., relatively thin) in order to minimize how much the clampmount 160 extends vertically above the table 110. The upper paddle 164is substantially wide and long along its width and length in order toprovide a relatively large surface contact area between the upper paddle164 and the top surface 114 of the table 110 for a more secureattachment to the table 110.

The upper base 166 of the upper clamp 162 provides an area for the upperclamp 162 to attach to the lower clamp 182 (as described furtherherein). Accordingly, as shown in FIG. 13B, the upper base 166 extendsin a substantially perpendicular manner to the upper paddle 164 in orderto extend along a side or edge of the table 110 (that is between the topsurface 114 and the bottom surface 112 of the table 110) and to reachand attach to the lower clamp 182.

As shown in FIG. 13B, the upper base 166 includes a hole 165 thatextends substantially vertically through the upper base 166 and alongthe height of the upper base 166. The hole 165 is configured to receiveat least a portion of a fastener (e.g., a pin, screw, or bolt 189) (andaccordingly extends completely through the upper base 166 (includingthrough the notch 163), as shown in FIGS. 13B-14 ) in order to attach tothe lower clamp 182. The bolt 189 may be, for example only, a ¼ by 20bolt.

According to one embodiment as shown in FIG. 14 , the upper base 166includes two opposing side walls and a back wall and a top wall thatdefines the hole 165. The side walls and the back wall each extend alongthe height of the upper base 166 and define the notch 163 of the upperbase 166. The upper paddle 164 may be in line with and extend directlyfrom the top wall. The upper base 166 may be substantially hollow (alongthe notch 163) and does not include a front wall (opposite the backwall) or a bottom wall (opposite the top wall) in order to allow aportion of the side walls and the back wall to extend around a portionof the lower clamp 182 (in particular the horizontal extension 188 ofthe lower clamp 182). Accordingly, the upper base 166 has a hollowportion or notch 163 (as shown in FIG. 14 ) that extends between thebottom of the upper base 166 to the bottom surface of the upper paddle164 of the upper clamp 162 and is configured to receive the horizontalextension 188 of the lower clamp 182.

According to another embodiment as shown in FIG. 14 , a portion of theupper base 166 (that is above the notch 163) may be filled in (with, forexample, epoxy) in order to increase the strength of the upper base 166,to provide an area to rest on a top surface of the lower clamp 182, andto act as a guide and thus prevent any pivoting between the upper clamp162 and the lower clamp 182. This filled-in portion defines a front wall161 of the upper base 166 that extends along only a portion of theheight of the upper base 166 that is above the notch 163 and isconfigured to directly contact and extend along a side or edge of thetable 110 once assembled to the table 110 (where this edge of the table110 extends between the top surface 114 and the bottom surface 112 ofthe table 110). The front wall 161 extends between a bottom surface ofthe upper paddle 164 and an approximately middle portion along theheight of the upper base 166 (i.e., the top of the notch 163).Accordingly, the notch 163 extends between the bottom of the front wall161 and the bottom of the entire upper base 166. The hole 165 may extendcompletely through this filled-in portion and along the entire height ofthe front wall 161 and may optionally include tubing to further definethe hole 165 within the filled-in portion of the upper base 166.

The upper clamp 162 may have a variety of different dimensions accordingto the desired configuration. According to one embodiment, the totallength of the entire upper clamp 162 may be approximately 6 to 8.5inches, and the length of the upper base 166 may be approximately 1 to1.25 inches (e.g., approximately 1.10 inches). The thickness of theupper paddle 164 may be approximately 0.15 inches. The width of theupper paddle 164 may be approximately 2.50 inches, and the width of theupper base 166 may be approximately 1.25 inches.

As shown in FIGS. 13A-13B, at least a portion of the bottom or lowerbracket or clamp 182 is configured to extend substantially along andsecure and support the bottom surface 112 of the table 110.Additionally, the lower clamp 182 is configured to fix the entire clampmount 160 (and thereby also the table 110) to the rail assembly 50.Accordingly, as shown in FIG. 14 , the lower clamp 182 includes a lowerpaddle 184 and a lower base 186. The lower extension, plate, or paddle184 is configured to extend horizontally beyond the lower base 186 andalong (and parallel to) the bottom surface 112 of the table 110 toward acenter portion of the table 110 (along the width or length of the table110) and is on an opposite side of the table 110 as the upper paddle 164of the lower clamp 182 (as described further herein). Accordingly, asshown in FIGS. 13B-14 , the lower paddle 184 is substantially flat alongits length and width (i.e., relatively thin) in order to minimize howmuch the clamp mount 160 extends vertically below the table 110. Thelower paddle 184 is substantially wide and long along its width andlength in order to provide a relatively large surface contact areabetween the lower paddle 184 and the bottom surface 112 of the table 110for a more secure attachment to the table 110. As shown in FIG. 13B, thelower paddle 184 and the upper paddle 164 are substantially parallel toeach other such that the table 110 fits and is secured easily in betweenthe lower paddle 184 and the upper paddle 164.

The lower base 186 of the lower clamp 182 provides an area for the lowerclamp 182 to attach to the upper clamp 162 (as described further herein)as well as to be fixed to a top portion of the rail assembly 50 (e.g.,to the mount support 167). As shown in FIG. 14 , the lower base 186 ispositioned substantially below the lower paddle 184 and includes ahorizontal extension 188 and at least two vertical extensions 192.Additionally, the lower base 186 vertically spaces apart the lowerpaddle 184 (and therefore the entire table 110) from the rail assembly50 in order to allow sufficient room for the shield 30, including theangled end 39 of the shield 30, to pass under the lower paddle 184 (andthe entire table 110) while the position of the shield 30 is beingadjusted.

As shown in FIGS. 13B-14 , the horizontal extension 188 extendshorizontally away from the lower paddle 184 in order to reach and attachto the upper base 166 of the upper clamp 162. Accordingly, thehorizontal extension 188 includes a hole 185 that extends substantiallyvertically through the horizontal extension 188 and along the height ofthe horizontal extension 188. The hole 185 is configured to receive atleast a portion of a fastener (e.g., a pin or bolt 189) (and accordinglyextends completely through the horizontal extension 188) in order toattach to the upper clamp 162. The horizontal extension 188 is sized tofit within the notch 163 of the upper clamp 162 such that the hole 185of the lower clamp 182 aligns with the hole 165 on the upper clamp 162and the side walls and back wall of the upper base 166 extend verticallyalong the sides of the horizontal extension 188.

In order to attach the upper clamp 162 and the lower clamp 182 together,the notch 163 of the upper clamp 162 and the horizontal extension 188 ofthe lower clamp 182 are first aligned with each other (as shown in FIG.14 ). (It is noted that, although the bolt 189 is shown within the upperclamp 162 in FIG. 14 , the bolt 189 may not extend all the way throughthe upper base 166 until the hole 185 of the lower clamp 182 and thehole 165 on the upper clamp 162 are aligned along their respectivelongitudinal axes.) The upper clamp 162 is moved such that thehorizontal extension 188 of the lower clamp 182 is positioned within thenotch 163 of the upper clamp 162, which aligns the hole 185 of the lowerclamp 182 with the hole 165 on the upper clamp 162 along theirrespective longitudinal axes. Depending on the configuration of theupper clamp 162, the bottom surface of the front wall 161 may rest alongthe top surface of the horizontal extension 188. The bolt 189 is thenmoved through both the hole 165 on the upper clamp 162 and the hole 185of the lower clamp 182 and is tightened (with, for example, a wing nut),as shown in FIG. 13B. Tightening the bolt moves the upper clamp 162 andthe lower clamp 182 vertically closer to each other according to thespecific thickness of the table 110, thereby securing the table 110between the upper paddle 164 and the lower paddle 184. The table 110 mayalready be positioned at least on top of the lower paddle 184 of thelower clamp 182 before the bolt 189 is tightened.

Since the upper clamp 162 and the lower clamp 182 can move verticallyrelative to each other as the upper clamp 162 is being tightened to thelower clamp 182 and thereby tightened to any vertical distance relativeto each other, the vertical distance between the upper paddle 164 andthe lower paddle 184 may be customized according to the specificthickness of the table 110 the clamp mount 160 is presently being usedwith. Once the clamp mount 160 is attached to the table 110 and when theradiation shield assembly 20 is being used, a mattress or pad may belaid on the top surface 114 of the table 110 (and therefore directlyover the upper paddle 164 of the upper clamp 162), which separates thepatient from the upper paddle 164 of the clamp mount 160 and provides anarea for the patient lie on. The weight of the patient on the upperpaddle 164 also helps keep the clamp mount 160 (and therefore the entireradiation shield assembly 20) securely attached to the table 110 and inplace.

In order to prevent misalignment of the upper paddle 164 of the upperclamp 162 and the lower paddle 184 of the lower clamp 182 during use andto guide the movement of the upper base 166 of the upper clamp 162 upand down along the horizontal extension 188 of the lower clamp 182, thelower clamp 182 may include a wedge, lip, or protrusion 198 (e.g., aprotruding or elevated surface), as shown in FIG. 14 . The lower clamp182 may include two protrusions 198 positioned along opposite sides ofthe lower base 186. The protrusion 198 is positioned such that the endor edge of the protrusion 198 directly abuts and opposes the front edgeof the upper base 166 (along the notch 163 and below the front wall 161)of the upper clamp 162 (as shown in FIG. 13B), which prevents the upperclamp 162 or the lower clamp 182 from rotating relative to each otherwhen assembled together. Accordingly, the width of the lower clamp 182along the protrusions 198 is greater than the inner width of the notch163 and therefore also greater than the width of the horizontalextension 188 (see FIG. 14 ), which fits within the notch 163. Theprotrusion 198 may, however, provide a small tolerance to allow theupper clamp 162 slightly rotate relative to the lower clamp 182 tocreate a small gap between the upper base 166 and the protrusion 198.

Without this protrusion 198, the upper paddle 164 of the upper clamp 162may become misaligned and angled (i.e., not approximately parallel)relative to the lower paddle 184 of the lower clamp 182 during use, inparticular if the edge or portions of the bottom surface 112 or topsurface 114 of the table 110 are angled (e.g., portions of the bottomsurface 112 that may not be parallel to the top surface 114 of the table110). For example, the lower clamp 182 may pivot away from the upperclamp 162 as the clamp mount 160 is being tightened to the table 110such that the ends of the upper paddle 164 and the lower paddle 184 thatare closest to the upper base 166 are angled closer to each other(compared to the ends of the upper paddle 164 and the lower paddle 184that are opposite the upper base 166). However, the protrusions 198prevent this misalignment.

As shown in FIGS. 13B-14 , the vertical extensions 192 extend verticallybelow the lower paddle 184 (in a substantially perpendicular manner tothe lower paddle 184) from a lower surface of the lower base 186 inorder to reach and attach to the rail assembly 50, in particular themount support 167 of the rail assembly 50. As shown, the clamp mount 160attaches to the two-sided extension 168 (that is one type of mountsupport 167) in order to attach to both sides of the rail 51 (or thecross-beam 56) for a more secure attachment (and to prevent torque frombeing applied to the rail 51 (or the cross-beam 56)).

As shown in FIG. 14 , the lower clamp 182 includes two sets or pairs ofvertical extensions 192 that form both a rail channel 194 and a mountsupport channel 196. The rail channel 194 and the mount support channel196 extend substantially perpendicularly to each other (since the rail51 and the two-sided extension 168 are substantially perpendicular toeach other).

The rail slot or channel 194 is formed between the two sets of verticalextensions 192 and is sized and configured to receive a portion of thelength of the rail 51 (or the cross-beam 56) of the rail assembly 50along the width of the rail 51. Accordingly, the rail channel 194 (i.e.,the distance between the two sets of vertical extensions 192) isapproximately equal to (or slightly larger than) the width of the rail51 in order to receive the width of the rail 51. The rail channel 194extends completely through the lower clamp 182. Accordingly, the rail 51extends within and through the rail channel 194 once the lower clamp 182is assembled to the rail assembly 50 such that the two sets of verticalextensions 192 are positioned along opposite side walls 49 of the rail51. The two sets of vertical extensions 192 may be substantiallysymmetrical about the rail channel 194.

The mount support slot or channel 196 is formed within (and extendsthrough) each of the sets of vertical extensions 192 and is sized andconfigured to receive the mount support 167 (specifically the two-sidedextension 168) along the width of the mount support 167. As shown inFIG. 14 , the mount support channel 196 extends completely through thelower clamp 182, continuously through and between the two sets ofvertical extensions 192. Accordingly, the two-sided extension 168 isconfigured to be positioned within the mount support channel 196 suchthat the two-sided extension 168 extends within and at least partiallythrough the mount support channel 196 once the lower clamp 182 isassembled to the rail assembly 50. The vertical extensions 192 (withineach of the sets of vertical extension 192) are thus positioned onopposite sides of the two-sided extension 168. The vertical extensions192 within each of the sets of vertical extensions 192 may besubstantially symmetrical about the mount support channel 196. However,according to another embodiment, the lower clamp 182 may be configuredto only include two vertical extensions 192 that form the rail channel194 therebetween (and thus do not form the mount support channel 196).

Each of the vertical extension 192 includes and defines a hole 193 thatextends completely through the vertical extension 192. The holes 193 areconfigured to receive at least a portion of a fastener (e.g., a pin,screw, or bolt 199) in order to attach to the two-sided extension 168.The holes 193 within each of the vertical extensions 192 within each ofthe sets of vertical extensions 192 are aligned with each other alongtheir longitudinal axes such that the bolt 199 can extend completelythrough two vertical extensions 192 within the same set of verticalextensions 192. Each of the sets of vertical extensions 192 areconfigured to receive a bolt 199 that extends through each of thevertical extensions 192 within the set. Accordingly, with two sets ofvertical extension 192, two bolts 199 may be positioned within andextend through a respective hole 193 and a respective base 55 of thetwo-sided extension 168 on opposite sides of the rail 51 or thecross-beam 56, which allows each of the two bases 55 of the two-sidedextension 168 to be attached to opposite sides of the lower clamp 182once the lower clamp 182 is assembled to the two-sided extension 168.

In order to attach the lower clamp 182 and the two-sided extension 168together (as shown in FIG. 14 ), the rail channel 194 is aligned alongthe width of the rail 51 such that the rail 51 can slide into the railchannel 194, and the mount support channel 196 is aligned along thewidth of the two-sided extension 168 such that the two-sided extension168 can slide into the mount support channel 196. The lower clamp 182 isthen placed over the two-sided extension 168, thereby aligning the holes53 of each of the bases 55 of the two-sided extension 168 with the holes193 through each set of the vertical extensions 192. Bolts 199 can bemoved through a hole 193 of one vertical extension 192, subsequentlythrough a hole 53 of one of the bases 55 of the two-sided extensions168, and then through a hole 193 of another vertical extension 192within the same set of vertical extensions 192 and subsequentlytightened, thereby attaching the lower clamp 182 to the two-sidedextension 168 (as shown in FIG. 13B).

The lower clamp 182 may have a variety of different dimensions accordingto the desired configuration. According to one embodiment, the totallength of the entire lower clamp 182 is approximately 7 inches, and thetotal height of the entire lower clamp 182 is approximately 2.30 inches.The width of the lower paddle 184 (which may be the maximum width of thelower clamp 182) is approximately 2 inches.

The width of the horizontal extension 188 may be approximately 0.90inches (the horizontal extension 188 may be substantially wide in orderto prevent the lower clamp 182 and the upper clamp 162 from pivotingrelative to each other). The height of the horizontal extension 188 maybe approximately 0.70 inches.

The length of the protrusion 198 is approximately 0.70 inches, the widthof the lower clamp 182 along the region with the protrusion 198 isapproximately 1.25 inches, and the height of the protrusion 198 isapproximately 0.60 inches.

The distance between the outer sides of a set of vertical extensions 192is approximately 1.2 inches, and the distance between the inner sides ofa set of vertical extensions 192 is approximately 0.90 inches. Thelength of each of the vertical extensions 192 is approximately 0.70inches, the distance between two sets of vertical extensions 192 (i.e.,the width of the rail channel 194) is approximately 0.90 inches, and thewidth of the lower base 186 along the vertical extensions 192 isapproximately 2.30 inches.

In order to accommodate tables 110 of different widths (due to, forexample, dimensional differences due to the particular vendor of thetable 110), the size of the clamp mount 160 may have a variety ofdifferent sizes. For example, the length of the horizontal extensions188 may be increased from approximately 0.75 inches to 1.75 inches, thusincreasing the length of the entire lower clamp 182 from approximately 7inches to 8 inches and moving the position of the holes 185 of each ofthe respective horizontal extensions 188 outward. Accordingly, the upperclamp 162 is attached to the lower clamp 182 in a position furtheroutward (relative to a center of the table 110 when assembled).Therefore, instead of securing a table 110 with a width of approximately17.75-18 inches, the clamp mount 160 can secure to a table 110 with awidth of approximately 19.75 inches. The other dimensions andconfiguration of the clamp mount 160 may remain the same.

Additionally, the table mounts 157 may be attached to tables 110 withouta taper (as shown in solid lines FIG. 13B) or with a taper 116 (as shownin dashed lines in FIG. 13B). The taper 116 may be a portion of thetable 110 along which the thickness of the table increases or decreasesand that is angled relative to the horizontal and vertical axes of thetable 110. The tapers 116 may be a variety of different sizes and shapes(i.e., longer or shorter or at a variety of different angles). The taper116 may extend along the bottom surface 112 of the table 110 along theouter edge of the table 110. Furthermore, the table 110 may have a liparound the outermost edge of the taper 116 that also has a variety ofdifferent sizes, according to the desired configuration of the tableand, for example only, the brand of the table. The lower paddle 184 (andoptionally the upper paddle 164) extends along a substantial portion ofthe width of the table 110 and therefore extends beyond the inner edgeof the taper 116, which allows the clamp mount 160 to securely andstably attach to tables 110 with tapers 116.

The clamp mount 160 may be constructed out of a variety of differentmaterials including, but not limited to, carbon fiber, in order to avoidany interference with the radiation 122.

Radiation Shield Assembly Use and Adjustment

As shown in FIGS. 1-3 , the radiation shield assembly 20 is configuredto be attached to an examination table 110 in order to shield certainareas of a patient 10 from excess radiation. Accordingly, the tablemounts 157 (which may include the clamp mounts 160 and/or the suctionmounts 60) are mounted to the table 110 and attached to the railassembly 50 (in either order). The shield 30 is then movably attached tothe rails 51 of the rail assembly 50.

Once the radiation shield assembly 20 is attached to the table 110, theposition of the shield 30 relative to the table 110 can be adjustedaccording to the desired position. For example, FIGS. 1-2 show theshield 30 of the radiation shield assembly 20 being moved from aretracted position 32 (as shown in FIG. 1 ) to a partially extendedposition 34 (as shown in FIG. 2 ). The shield 30 can then be moved to anextended position 36 (as shown in FIG. 4 ) along at least a portion ofthe length of the table 110. In order to move the shield 30, the usergrasps and at least partially compresses the locking handle 140 and,while still compressing the locking handle 140, moves the shield 30 tothe desired location. The user then releases the locking handle 140,which automatically locks the shield 30 into position along the lengthof the rails 51 (and thereby along the length of the table 110). Theshield 30 can be moved from the extended position 36, though partiallyextended positions 34, and to the retracted position 32 before, during,and after a procedure according to the desired amount and location ofradiation shielding, with or without a patient 10 on top of the table110 (and without disturbing the patient 10 or the sterile area on top ofthe table 110).

In FIG. 4 , the radiation shield assembly is in the extended position36. Accordingly, if attached to the rest of the radiation shieldassembly 20, the shield 30 would be fully extended (and completelyunfolded) along the length of the rails 51 of the rail assembly 50 andsubstantially parallel to the table 110. In the extended position 36,the angled end 39 of the shield 30 may abut the cross-beam 56 at one endof the rail assembly 50. The corner supports 59 of the rail assembly 50cause the flaps 97 of the shield 30 to curve inwardly and toward theopposite end of the rail assembly 50.

In order to move the shield 30, the user grasps and at least partiallycompresses the handle 140 (which unlocks the handle 140) andconcurrently moves the handle 140 along at least a portion of the lengthof the rails 51, which moves the shield 30 with the handle 140 along theportion of the length of the rails 51. As the handle 140 is moved, atleast a portion of the shield 30 is moved along with the handle 140, andthe roller structures 73 move within the rails 51 (as shown anddescribed further herein). Furthermore, the angled end 39 of the shield30 (near which the handle 140 may be positioned and attached to) ismoved away from the end of the rails (e.g., from the cross-beam 56 atthe end of the rail assembly 50) when the handle 140 is moved from theextended position 36, thereby exposing a portion of the table 110 (andthis end of the rail assembly 50) to radiation 122. The shield 30 can bepositioned and locked in a variety of different partially extendedpositions 34, depending on the desired amount and location of radiationshielding. The user can release the handle 140 anywhere along the lengthof the rails 51 in order to lock the shield 30 into any particularpartially extended position 34 along the length of the rails 51. Theangled end 39 of the shield 30 can be moved directly underneath thetable mounts 157 (e.g., the clamp mounts 160) due to the vertical spacebetween the shield 30 and the table mount 157 created by the lower base186 of the lower clamp 182 (as described further herein).

In FIG. 1 , the radiation shield assembly 20 is in the retractedposition 32. Accordingly, the shield 30 is fully retracted along thelength of the rails 51 of the rail assembly 50. In the retractedposition 32, the shield 30 may be folded up toward one end of the rails51 or folded and positioned anywhere along the length of the rails 51.For example, the shield 30 may optionally be folded up toward thesuction mounts 60 such that the angled end 39 of the shield 30 abuts thesuction mounts 60 and/or the one-sided extension 58 of the rail assembly50. The shield 30 may optionally be moved underneath and past the tablemounts 157 (e.g., the clamp mounts 160 and/or the suction mounts 60)such that the angled end 39 of the shield 30 can be positioned on eitherside of the table mounts 157.

In order to move the shield 30 from the retracted position 32 back tothe extended position 36, the same process can be followed, exceptmoving the handle 140 in the opposite direction along the length of therails 51.

Experimental Results

In order to access the effectiveness of the radiation shield assembly20, radiation levels at specific locations were measured during variousbench test radiologic procedures, in quasi-lab conditions and with realtime radiation detectors to assess the radiation dose at differentlocations with and without the radiation shield assembly 20. Thesevarious experimental procedures and results described herein are forexemplary purposes only and not intended to be limiting in any way.

An acrylic phantom model (developed by American National StandardsInstitute and the Center for Devices and Radiologic Health (CDRH)) wasused in experimentation in order to allow serial measurements with thesame parameters. Patient equivalency of the phantom model has beenestablished clinically. (Chu R Y L, Fisher J, Archer B R, et al.Standardized methods for measuring diagnostic x-ray exposures. AAPMReport NO. 31 published for the American Association of Physicians inMedicine by the American Institute of Physics, 1990.) Accordingly, anacrylic block was used to simulate the heart of a 160-170 pound patient.The acrylic block has the density of a thoracic cavity (approximately).The acrylic block was 7.87 inches (200 mm) thick, 11.81 inches (30 cm)long, and 11.81 inches wide.

The height of the table 110 was −5.12 inches (−13 cm) below theisocenter. The source image detector (SID) was 39.37 inches (100 cm) andthe fluoroscopy was 30 frames per second, with duration of one minute.The projections or camera angles were right anterior oblique (RAO) at30°, left anterior oblique (LAO) at 30°, and straight anterior posterior(AP).

Multiple Gieger counters or real-time radiation detectors (e.g.,RaySafe™) were used to measure the cumulative radiation around theacrylic block in three different configurations (i.e., open,collimation, and radiation pads) with three camera angles (i.e., RAO,LAO, and AP). The radiation detectors were positioned at differentlocations to measure the radiation 122 exiting the surface of the table110 (potential exit radiation dose from the table 110 to patient 10 andto the practitioner).

During the experiment, each measurement was taken five times (N−5).Table 1 (below) shows a summary of the measured radiation (in milligray)of each of the radiation detectors at different locations without andwith the radiation shield assembly 20. The measured radiation values areshown as the mean±the standard deviation. Table 1 also shows the percentreduction of measured radiation of the experimental setup with theradiation shield assembly 20 compared to the experimental setup withoutthe radiation shield assembly 20. Based on the Kruskal-Wallis test(N=15), significant percentage reductions are designated by * if thep-value is less than 0.01. It is noted that, due to the difference invariability, larger percentages may or may not be statisticallysignificant.

TABLE 1 Measured radiation Measured radiation (milligray, without(milligray, with the Camera the radiation shield radiation shieldPercent Angle assembly 20) assembly 20) Reduction Patient Right FemoralArtery Area LAO 0.48 ± .04 0.02 ± .04 96%* RAO 1.52 ± .08 0.40 ± .0174%* AP 0.38 ± .04 0.06 ± .09 84%* Patient Right Hand Area LAO 25.9 ±.95 18.7 ± .57 28%  RAO 20.3 ± 1.2 12.5 ± .94 38%  AP 17.9 ± 1.9 11.3 ±.07 37%* Patient Right Mid Thorax LAO 4.28 ± .22 1.40 ± .12 67%* RAO4.78 ± .33 1.54 ± .09 68%* AP 2.74 ± .05 0.94 ± .05 66%* Right SideBelow Table LAO 90.3 ± 7.9 92.5 ± 8.3 −2%   RAO 31.2 ± 1.8 31.2 ± 2.0 0%AP 36.6 ± .40 36.1 ± .16 1% Patient Groin LAO 52.1 ± 1.0 51.8 ± 2.7 1%RAO 45.5 ± 1.4  45.5 ± 1.36 0% AP 47.8 ± .20 48.0 ± .42 0% Patient MidAbdomen LAO 16.6 ± 1.2  9.0 ± .78 46%* RAO 13.4 ± .92  6.18 ± .61  54%*AP 12.9 ± .12  6.9 ± .05 47%* Patient Left Femoral Artery Area LAO 0.78± .04 0.40 ± .01 49%* RAO 0.50 ± .01 0.10 ± .01 80%* AP 0.30 ± .01 0.08± .08 73%* Patient Left Mid Thorax LAO 27.4 ± 1.7 28.0 ± 1.3 −2%   RAO73.8 ± 2.5 72.7 ± 4.2 1% AP 30.5 ± .30 31.0 ± .31 −2%   Patient mGy LAO35.8 ± 5.0 35.6 ± 4.3 1% RAO 34.8 ± 3.8 34.8 ± 4.4 0% AP 19.4 ± .55 19.4± .55 0% Patient mGycm² LAO 428.6 ± 49.6 436.4 ± 49.1 −2%   RAO 429.2 ±49.9 428.8 ± 50.8 0% AP 239.8 ± .8  239.4 ± 1.5  0%

The results shown in Table 1 show a statistically significant reductionin radiation exposure to the simulated patient (i.e., the acrylic block)and thus to the practitioner. In many locations of the radiationdetectors, the radiation exposure is reduced by 60% to 90%. Patient mGyand Patient mGycm² are controls to show that the power of the x-ray isnot increased as a result of including the radiation shield assembly 20.

Additionally, another test was conducted to access the effectiveness ofthe radiation shield assembly 20 in which the radiation was measuredwithout the radiation shield assembly 20 and with the radiation shieldassembly 20, as shown below in Table 2. In particular, radiation levelsat various different locations were measured during radiologicprocedures with real time radiation detectors to assess the entranceradiation dose 124 (i.e., the amount of radiation that enters into(rather than exits from) the patient) at different locations with andwithout the radiation shield assembly 20. To measure the entranceradiation dose 124, the radiation detectors were placed on top of thetable, measuring the radiation coming out of the table from theradiation source, before going through any patient or patient model.

Table 2 shows the measured amount of radiation that the patient receivesat various different locations 1-8. Measurements were taken at threedifferent camera angles (i.e., RAO, LAO, and AP), without and with theradiation shield assembly 20 for comparison. Each of the measurementswere taken in open field. The percent reduction of radiation is shownfor each measurement.

TABLE 2 Measured Radiation Measured Radiation (milligray, without(milligray, with the Camera the radiation shield radiation shieldPercent Angle assembly 20) assembly 20) Reduction Location 1 LAO 0.680.02 97.06% RAO 0.36 0.02 94.44% AP 0.36 0 100.00% Location 2 LAO 0.670.1 85.07% RAO 0.4 0.1 75.00% AP 0.4 0 100.00% Location 3 LAO 1.63 0.287.73% RAO 0.7 0.18 74.29% AP 0.7 0 100.00% Location 4 LAO 2.63 0.677.19% RAO 3.12 0.98 68.59% AP 1.54 0.4 74.03% Location 5 LAO 1.73 0.288.44% RAO 1.24 0.26 79.03% AP 0.7 0.1 85.71% Location 6 LAO 3.17 0.6878.55% RAO 2.24 0.7 68.75% AP 1.5 0.4 73.33% Location 7 LAO 2.83 0.292.93% RAO 1.64 0.22 86.59% AP 1.64 0.02 98.78% Location 8 LAO 3.62 0.877.90% RAO 1.48 0.42 71.62% AP 1.26 0.3 76.19%

As shown, by including the radiation shield assembly 20, the amount ofradiation that both the operator (or practitioner) and the patient areexposed is reduced to compared to the amount of radiation that theoperator and the patient are exposed to without the radiation shieldassembly 20.

It is understood that the various dimensions and sizes of the componentsof the radiation shield assembly 20 are exemplary only and may bechanged according to the desired configuration.

The embodiments disclosed herein provide a radiation shield assembly.Besides those embodiments depicted in the figures and described in theabove description, other embodiments of the present invention are alsocontemplated. For example, any single feature of one embodiment of thepresent invention may be used in any other embodiment of the presentinvention.

Given the disclosure of the present invention, one versed in the artwould appreciate that there may be other embodiments and modificationswithin the scope and spirit of the invention. Accordingly, allmodifications attainable by one versed in the art from the presentinvention within the scope and spirit of the present invention are to beincluded as further embodiments of the present invention.

What is claimed:
 1. A radiation shield assembly comprising: a shieldcomprising a body configured to attenuate radiation; a shield supportingassembly configured to position the shield between a patient support anda radiation source to attenuate radiation from the radiation source, andto support the shield such that the body of the shield extends across atleast a portion of a width of the patient support and along at least aportion of a length of the patient support; and a deflector positionedon the body of the shield, wherein the deflector extends at an anglerelative to the body of the shield, such that the deflector isconfigured to extend toward the patient support when the shield ispositioned by the shield supporting assembly.
 2. The radiation shieldassembly of claim 1, wherein the deflector is configured to attenuateradiation.
 3. The radiation shield assembly of claim 1, wherein thedeflector is positioned at a longitudinal end of the body of the shield.4. The radiation shield assembly of claim 1, wherein the shield includesan angled end at a longitudinal end of the body of the shield, and thedeflector is configured to support the angled end of the shield anddeflect the angled end to extend at the angle relative to the body ofthe shield.
 5. The radiation shield assembly of claim 4, wherein thedeflector comprises: an upper support element and a lower supportelement, each of the upper support element and the lower support elementhaving a horizontal portion and a vertical portion angled relative tothe horizontal portion, a vertical shield comprising at least one layerdisposed between each of the vertical portions and configured toattenuate radiation, wherein the shield is disposed between the uppersupport element and the lower support element such as to deflect theangled end to extend at the angle relative to the body of the shield. 6.The radiation shield assembly of claim 5, wherein the body and theangled end comprise a first layer and a second layer, and the verticalshield is disposed between the first layer and the second layer of atleast a portion of the angled end.
 7. The radiation shield assembly ofclaim 5, wherein the upper support element, the shield, and the lowersupport element are coupled together along the vertical portions of thedeflector and the angled end of the shield.
 8. The radiation shieldassembly of claim 5, wherein a width of the angled end above thevertical portions is less than a width of the horizontal portions. 9.The radiation shield assembly of claim 5, wherein the angled end has aconstant width along a height of the angled end such the bottom portionof the angled end extends horizontally beyond ends of the verticalportions of the deflector.
 10. The radiation shield assembly of claim 5,wherein an upper portion of the angled end comprises at least one flapthat moves independently in a direction of movement of the shield alongthe shield supporting assembly relative to the shield and the deflector.11. The radiation shield assembly of claim 5, wherein an upper portionof the angled end comprises two flaps positioned on opposite ends in awidth direction of the angled end and that move independently in adirection of movement of the shield along the shield supporting assemblyrelative to the shield and the deflector.
 12. The radiation shieldassembly of claim 11, wherein one of a notch and a horizontal slitseparates a bottom edge of the flaps from the angled end such as tofacilitate movement of the flaps.
 13. The radiation shield assembly ofclaim 11, wherein a width of the flaps is greater than a width of thevertical portions of the deflector.
 14. The radiation shield assembly ofclaim 1, wherein the deflector has a stiffness greater than a stiffnessof the shield.